Individual
MS. LAURIE B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4452
(228) 388-0017
Mailing address
251 JOHNSTON ST, STE 200, DECATUR, AL 35601-2515
(256) 350-1764
(256) 350-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2765
MS
Other
Enumeration date
12/17/2012
Last updated
08/02/2017
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