person
Katie Johnson
Speech-Language Assistant in Fayetteville, Arkansas
NPI 1093113763

Katie Johnson is a Speech-Language Assistant based in Fayetteville, AR and is specialized in Speech-Language Assistant. Katie Johnson practices in Fayetteville, AR. The NPI Number for Katie Johnson is 1093113763 and holds a License No. 235580801X (Arkansas).

The current practice location address for Katie Johnson is 4419 W Pecan St, Fayetteville, AR and can be reached out via phone at 870-688-1308. You can also correspond with Katie Johnson through the mailing address at 4419 W PECAN ST, FAYETTEVILLE, AR - 72704-7909 (mailing address contact number: 870-688-1308).

Location: 4419 W Pecan St, Fayetteville, AR, 72704-7909
person
Provider Profile Details
NPI Number
1093113763
Provider Name
Katie Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4419 W Pecan St, Fayetteville, AR, 72704-7909
Phone Number
870-688-1308
Fax Number
Provider Enumeration Date
12/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116141743 01 AR OUR COOP
institution
Provider Business Practice Location Address Details
Address
4419 W Pecan St
City
State
Zip
72704-7909
Phone Number
870-688-1308
Fax Number
person
Provider Business Mailing Address Details
Address
4419 W Pecan St
City
State
Zip
72704-7909
Phone Number
870-688-1308
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
235580801X (Arkansas)
Definition
Definition to come...
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