Individual
MRS. AMY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
255 HEDGES STREET, SUITE A, MANSFIELD, OH 44902
(419) 774-4290
(419) 774-4375
Mailing address
255 HEDGES STREET, SUITE A, MANSFIELD, OH 44902
(419) 774-4290
(419) 774-4375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7276
OH
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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