Doctor Name: | MS. SALLY JOHNSTON |
NPI Number: | 1619024924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | LL00002773 |
Business Practice Address: | 905 N Meadow St Moscow, ID - 838439584 |
Business Phone Number: | 2088823381 |
Business Fax Number: | |
Mailing Address: | 1620 Sw Summit Ct., PULLMAN |
State: | WA |
Postal Code: | 99163 |
Phone Number: | 5093325106 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00002773 |
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 |