Doctor Name: | DR. SHAMEKA NICOLE JOHNSON |
NPI Number: | 1306212857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 000290 |
Business Practice Address: | 1203 Fidler Ln Apt. 1213 Silver Spring, MD - 209103490 |
Business Phone Number: | 6095680358 |
Business Fax Number: | |
Mailing Address: | 1203 Fidler Ln, Apt. 1213 SILVER SPRING |
State: | MD |
Postal Code: | 209103490 |
Phone Number: | 6095680358 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2015 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
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 |