Doctor Name: | MS. JEANENE MARIE JOHNSON |
NPI Number: | 1316370968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 10431 |
Business Practice Address: | 7122 Midnight Pass Missouri City, TX - 774594758 |
Business Phone Number: | 2816744205 |
Business Fax Number: | 4802878474 |
Mailing Address: | 7122 Midnight Pass, MISSOURI CITY |
State: | TX |
Postal Code: | 774594758 |
Phone Number: | 2816744205 |
Fax Number: | 4802878474 |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |