Jean Marie Johnson, M.S., CCC-SLP
NPI #1306184643 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1306184643
- Entity Type
- Individual
- Name
- Jean Marie Johnson, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jan 22, 2013
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 831 GRACE DR W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3296
- Phone
- (215) 410-6377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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