Doctor Name: | MRS. ASHLEY D JOHNSON |
NPI Number: | 1104804020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 6678 |
Business Practice Address: | 153 Deep Run Drive New Bern, NC - 285605206 |
Business Phone Number: | 2526383147 |
Business Fax Number: | 2526363170 |
Mailing Address: | 153 Deep Run Drive, NEW BERN |
State: | NC |
Postal Code: | 285605206 |
Phone Number: | 2526383147 |
Fax Number: | 2526363170 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |