Doctor Name: | MRS. AMY J. JOHNSON |
NPI Number: | 1538397906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 109070 |
Business Practice Address: | 3340 Fm 1092 Rd Ste 180 Missouri City, TX - 774592299 |
Business Phone Number: | 2814035437 |
Business Fax Number: | |
Mailing Address: | 3414 S Halls Point Ct, MISSOURI CITY |
State: | TX |
Postal Code: | 774596577 |
Phone Number: | 2819104163 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2009 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 109070 |
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 |