Organization
IMPACT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JOHNSON CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(919) 598-1867
Entity
Organization
Contact information
Practice address
6 WINNABOW COURT, DURHAM, NC 27703
(919) 598-1867
(919) 598-1867
Mailing address
811 NINTH STREET SUITE 120-196, DURHAM, NC 27705
(919) 598-1867
(919) 598-1867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3004
NC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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