Individual
DONNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 323-4028
(701) 323-4027
Mailing address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 323-4028
(701) 323-4027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1012
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55212
—
ND
Enumeration date
05/07/2008
Last updated
05/07/2008
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