Doctor Name: | MRS. JUDY RENEE JOHNSON |
NPI Number: | 1023352994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | SP 60238631 |
Business Practice Address: | 19307 E Cataldo Ave Spokane Valley, WA - 990169489 |
Business Phone Number: | 5092285400 |
Business Fax Number: | |
Mailing Address: | 19307 E Cataldo Ave, SPOKANE VALLEY |
State: | WA |
Postal Code: | 990169489 |
Phone Number: | 5092285400 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SP 60238631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |