| Doctor Name: | DOUGLAS ARTHUR JOHNSON |
| NPI Number: | 1033255328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCC-SLP |
| License Number: | SLP4920 |
| Business Practice Address: | 500 North Navajo Box 1927 Page, AZ - 86040 |
| Business Phone Number: | 9286084300 |
| Business Fax Number: | 9286459285 |
| Mailing Address: | Po Box 4492, 804 Village Drive PAGE |
| State: | AZ |
| Postal Code: | 860404492 |
| Phone Number: | 9286451414 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP4920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |