Doctor Name: | JEANNE M JOHNSON |
NPI Number: | 1598972630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | LL00002727 |
Business Practice Address: | Daggy 133 Pullman, WA - 991642420 |
Business Phone Number: | 5093351509 |
Business Fax Number: | |
Mailing Address: | Daggy 133, PULLMAN |
State: | WA |
Postal Code: | 991642420 |
Phone Number: | 5093351509 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00002727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |