Doctor Name: | LAURIE KAY JOHNSON |
NPI Number: | 1821154063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 8255569 |
Business Practice Address: | 6230 10th St N Suite 220 Oakdale, MN - 551286158 |
Business Phone Number: | 6517392300 |
Business Fax Number: | |
Mailing Address: | 6230 10th St N, Suite 220 OAKDALE |
State: | MN |
Postal Code: | 551286158 |
Phone Number: | 6517392300 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8255569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |