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Mackenzie Johnson
Speech-Language Assistant in Idaho Falls, Idaho
NPI 1366215667

Mackenzie Johnson is a Speech-Language Assistant based in Idaho Falls, ID and is specialized in Speech-Language Assistant. Mackenzie Johnson practices in Idaho Falls, ID. The NPI Number for Mackenzie Johnson is 1366215667 and holds a License No. (Idaho).

The current practice location address for Mackenzie Johnson is 13816 N 65Th E, Idaho Falls, ID and can be reached out via phone at 208-221-8688.

Location: 13816 N 65Th E, Idaho Falls, ID, 83401-5319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366215667
Provider Name
Mackenzie Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
13816 N 65Th E, Idaho Falls, ID, 83401-5319
Phone Number
208-221-8688
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13816 N 65Th E
City
Idaho Falls
State
Idaho
Zip
83401-5319
Phone Number
208-221-8688
Fax Number
person
Provider Business Mailing Address Details
Address
13816 N 65Th E
City
Idaho Falls
State
Idaho
Zip
83401-5319
Phone Number
208-221-8688
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.
()
Definition
Definition to come...
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