Jenny L Johnson, MS, CCC-SLP

NPI #1427295112 in Rigby, Idaho

Provider Information

NPI Number: 1427295112
Entity Type: Individual
Name: Jenny L Johnson, MS, CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: MS, CCC-SLP
Enumeration Date: Jan 16, 2009
Last Updated: Jan 16, 2009

Practice Location

Address: 152 E MAIN ST
Address 2: SUITE 110
City: Rigby
State: Idaho
ZIP Code: 83442-5266
Phone: (208) 745-7101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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