Connie M. Johansen, MSCCCSLP
NPI #1548339401 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1548339401
- Entity Type
- Individual
- Name
- Connie M. Johansen, MSCCCSLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSCCCSLP
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2403 BATTLEFIELD PKWY
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-4033
- Phone
- (706) 866-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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