# ANNA JOHANSEN-CCC/SLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891952644
- **Authorized official:** ANNA LEE JOHANSEN CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (218) 854-7334

## Contact information

- **Practice address:** 47760 SUNSET DR, BECIDA, MN 56678-4493
- **Practice address phone:** (218) 854-7334
- **Mailing address:** 47760 SUNSET DR, BECIDA, MN 56678-4493
- **Mailing address phone:** (218) 854-7334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 250269 | MN | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008