Doctor Name: | MRS. AMY ACHENBACH JOHNSON |
NPI Number: | 1437361904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SL007050 |
Business Practice Address: | Providence Place 2200 First Avenue Pottsville, PA - 17901 |
Business Phone Number: | 5706286950 |
Business Fax Number: | |
Mailing Address: | 1536 Mahantongo St., POTTSVILLE |
State: | PA |
Postal Code: | 17901 |
Phone Number: | 5706282425 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |