Virginia Clipson Johnson MACCC-SLP

NPI 1093065393 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1093065393
Gender Female
Enumeration Date 09/13/2012
Last Updated 09/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1401 W. MARTIN LUTHER KING
BRYAN TX, 77803, US
Phone (979) 209-3700
Fax
Business Location
1501 COPPERFIELD PARKWAY #827
COLLEGE STATION TX, 77845, US
Phone (210) 601-6787
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 11157
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According to our database, Virginia Clipson Johnson MACCC-SLP NPI is 1093065393, taxonomy code is 235Z00000X and license number is 11157, license state is located at Texas. Virginia Clipson Johnson MACCC-SLP physically located at 1401 W. Martin Luther King, Bryan TX, 77803. NPI Number Virginia Clipson Johnson MACCC-SLP has the Individual type.

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1093065393 NPI number is provided on an as is basis without warranty of any kind. 1093065393 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Clipson Johnson MACCC-SLP are for informational purposes only.