Alicia Johnson, M.S. CCC-SLP
NPI #1124696026 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1124696026
- Entity Type
- Individual
- Name
- Alicia Johnson, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Jun 16, 2021
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 411 W HAYCRAFT AVE STE D1
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-8104
- Phone
- (208) 664-2468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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