Doctor Name: | DANIELLE MARIE JOHNSON |
NPI Number: | 1144410697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 790 College Pkwy C/o Center For Disorders Of Communication Colchester, VT - 054463007 |
Business Phone Number: | 6037241521 |
Business Fax Number: | |
Mailing Address: | 790 College Pkwy, C/o Center For Disorders Of Communication COLCHESTER |
State: | VT |
Postal Code: | 054463007 |
Phone Number: | 6037241521 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |