Doctor Name: | DONNA JOHNSON |
NPI Number: | 1033385174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1012 |
Business Practice Address: | 806 N Washington St Bismarck, ND - 585013623 |
Business Phone Number: | 7013234028 |
Business Fax Number: | 7013234027 |
Mailing Address: | 806 N Washington St, BISMARCK |
State: | ND |
Postal Code: | 585013623 |
Phone Number: | 7013234028 |
Fax Number: | 7013234027 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
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 |