Doctor Name: | DALILA ZURI JOHNSON |
NPI Number: | 1700146925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFY-SLP |
License Number: | |
Business Practice Address: | 2720 Charles Town Rd Martinsburg, WV - 254055626 |
Business Phone Number: | 3042630933 |
Business Fax Number: | |
Mailing Address: | 6000 Hood Cir, Unit 205 MARTINSBURG |
State: | WV |
Postal Code: | 254031373 |
Phone Number: | 9045837065 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |