Johanna Marie Tanner, M.S., CCC-SLP
NPI #1487808010 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1487808010
- Entity Type
- Individual
- Name
- Johanna Marie Tanner, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Nov 10, 2008
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 1102 ROSE HILL DR
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22903-5128
- Phone
- (434) 979-8628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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