Doctor Name: | JENNIFER J JOHNSON |
NPI Number: | 1053615849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.-CF |
License Number: | 6404 |
Business Practice Address: | 11140 N Harrells Ferry Rd Baton Rouge, LA - 708168307 |
Business Phone Number: | 2259261838 |
Business Fax Number: | |
Mailing Address: | 11140 N Harrells Ferry Rd, BATON ROUGE |
State: | LA |
Postal Code: | 708168307 |
Phone Number: | 2259261838 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2011 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |