Alice Marie Johnson CCC-SLP

NPI 1447546742 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1447546742
Gender Female
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1611 HEADWAY CIR
BUILDING 2
AUSTIN TX, 78754-5160, US
Phone (512) 615-6802
Fax
Business Location
1611 HEADWAY CIR
BUILDING 2
AUSTIN TX, 78754-5160, US
Phone (512) 615-6802
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 104449
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According to our database, Ms. Alice Marie Johnson CCC-SLP NPI is 1447546742, taxonomy code is 235Z00000X and license number is 104449, license state is located at Texas. Alice Marie Johnson CCC-SLP physically located at 1611 Headway Cir, Austin TX, 78754-5160. NPI Number Alice Marie Johnson CCC-SLP has the Individual type.

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1447546742 NPI number is provided on an as is basis without warranty of any kind. 1447546742 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Marie Johnson CCC-SLP are for informational purposes only.