Individual
REBECCA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4305 S POPLAR ST, CASPER, WY 82601-6106
(307) 995-4819
Mailing address
450 N WASHINGTON ST, CASPER, WY 82601-2153
(504) 812-0771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-405
WY
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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