Doctor Name: | CHARLEEN S JOHNSON |
NPI Number: | 1851454797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP005769 |
Business Practice Address: | 3040 Highlands Pkwy Se Suite B Smyrna, GA - 300825176 |
Business Phone Number: | 6783059200 |
Business Fax Number: | 6783059201 |
Mailing Address: | 3040 Highlands Pkwy Se, Suite B SMYRNA |
State: | GA |
Postal Code: | 300825176 |
Phone Number: | 6783059200 |
Fax Number: | 6783059201 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 05/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |