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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.

Location: 4419 W Pecan St, Fayetteville, AR, 72704-7909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Fayetteville
State
Arkansas
Zip
72704-7909
Phone Number
870-688-1308
Fax Number
person
Provider Business Mailing Address Details
Address
4419 W Pecan St
City
Fayetteville
State
Arkansas
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
2355S0801X
License No.
235580801X (Arkansas)
Definition
Definition to come...
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