Brentlee Johnson, SLP
NPI #1831662055 in Carterville, Illinois
Provider Information
- NPI Number
- 1831662055
- Entity Type
- Individual
- Name
- Brentlee Johnson, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Jan 10, 2019
- Last Updated
- Sep 23, 2021
Practice Location
- Address
- 1106 FALCON CT
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1771
- Phone
- (870) 926-4319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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