Doctor Name: | MS. LAURA LEE JOHNSTON |
NPI Number: | 1285964619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.CCC-SLP |
License Number: | SP#1691 |
Business Practice Address: | 7912 Mabelvale Pike Little Rock, AR - 722093353 |
Business Phone Number: | 5015700904 |
Business Fax Number: | 5015700954 |
Mailing Address: | 7912 Mabelvale Pike, LITTLE ROCK |
State: | AR |
Postal Code: | 722093353 |
Phone Number: | 5015700904 |
Fax Number: | 5015700954 |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |