Luke T Johnson M.S., CCC-SLP

NPI 1154574366 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1154574366
Gender Male
Enumeration Date 10/31/2008
Last Updated 10/31/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
N3684 RIVER ROAD
SHAWANO WI, 54166, US
Phone (715) 412-0214
Fax
Business Location
N3684 RIVER ROAD
SHAWANO WI, 54166, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 2790-154
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According to our database, Mr. Luke T Johnson M.S., CCC-SLP NPI is 1154574366, taxonomy code is 235Z00000X and license number is 2790-154, license state is located at Wisconsin. Luke T Johnson M.S., CCC-SLP physically located at N3684 River Road, Shawano WI, 54166. NPI Number Luke T Johnson M.S., CCC-SLP has the Individual type.

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1154574366 NPI number is provided on an as is basis without warranty of any kind. 1154574366 is maintained by the National Plan & Provider Enumeration System. The contents of Luke T Johnson M.S., CCC-SLP are for informational purposes only.