Doctor Name: | MRS. ERIN DAWN JOHNSON |
NPI Number: | 1730425109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P.A./CCC-SLP |
License Number: | LL00001308 |
Business Practice Address: | 23400 5th Ave W Bothell, WA - 980218529 |
Business Phone Number: | 4254085260 |
Business Fax Number: | 4254085202 |
Mailing Address: | 3330 Monte Villa Pkwy, BOTHELL |
State: | WA |
Postal Code: | 980218972 |
Phone Number: | 4254086021 |
Fax Number: | 4254087740 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001308 |
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 |