Doctor Name: | MRS. KRISTAL G JOHNSON |
NPI Number: | 1952475188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 19360 |
Business Practice Address: | 5800 Bell St Amarillo, TX - 791096230 |
Business Phone Number: | 8066775226 |
Business Fax Number: | 8066775225 |
Mailing Address: | 5800 Bell St, AMARILLO |
State: | TX |
Postal Code: | 791096230 |
Phone Number: | 8066775226 |
Fax Number: | 8066775225 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |