MRS. Tia L Johnson, M.S., CCC-SLP

NPI #1346818242 in Jackson, Wyoming

Provider Information

NPI Number
1346818242
Entity Type
Individual
Name
MRS. Tia L 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
555 E BROADWAY AVE # 100
State
Wyoming
ZIP Code
83001-8640
Phone
(307) 739-1864

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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