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Individual

DOUGLAS ARTHUR JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
500 NORTH NAVAJO, BOX 1927, PAGE, AZ 86040
(928) 608-4300
(928) 645-9285
Mailing address
PO BOX 4492, 804 VILLAGE DRIVE, PAGE, AZ 86040-4492
(928) 645-1414

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4920
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP4920
LICENSE-AZ DEPT OF HEALT
AZ
Enumeration date
01/30/2007
Last updated
07/08/2007
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