Doctor Name: | SHEKEMIA JOHNSON |
NPI Number: | 1942647920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP007633 |
Business Practice Address: | 1385 Oglethorpe St Macon, GA - 312011511 |
Business Phone Number: | 2298158908 |
Business Fax Number: | |
Mailing Address: | 1665 Wesleyan Dr, Apt 701 MACON |
State: | GA |
Postal Code: | 312100800 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007633 |
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 |