Individual
JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
400 VETERANS AVE, ASPS 126, BILOXI, MS 39531-2410
(228) 523-5480
Mailing address
101 EDMUND DR, LONG BEACH, MS 39560-5005
(228) 731-8725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3767
MS
Other
Enumeration date
09/25/2014
Last updated
04/16/2025
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