Doctor Name: | JENNIFER S JOHNSON |
NPI Number: | 1225277262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC-SLP |
License Number: | 2202005697 |
Business Practice Address: | 2924 Brook Rd Children's Hospital Of Richmond At Vcu Richmond, VA - 232201215 |
Business Phone Number: | 8042736656 |
Business Fax Number: | |
Mailing Address: | 1761 Stoney Creek Dr, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229027200 |
Phone Number: | 3022424428 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2009 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |