Amanda Johnson

NPI #1154642148 in O Fallon, Illinois

Provider Information

NPI Number
1154642148
Entity Type
Individual
Name
Amanda Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 14, 2010
Last Updated
Feb 16, 2015

Practice Location

Address
8 EAGLE CTR STE 5
ZIP Code
62269-1947
Phone
(618) 334-4550

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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