Nichole Johnson, M.A., CCC/SLP-L
NPI #1790137834 in Centerville, South Dakota
Provider Information
- NPI Number
- 1790137834
- Entity Type
- Individual
- Name
- Nichole Johnson, M.A., CCC/SLP-L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC/SLP-L
- Enumeration Date
- Jul 12, 2016
- Last Updated
- Jul 12, 2016
Practice Location
- Address
- 610 LINCOLN ST
- City
- Centerville
- State
- South Dakota
- ZIP Code
- 57014-2040
- Phone
- (605) 563-2291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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