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Individual

MRS. ASHLEY D JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
153 DEEP RUN DRIVE, NEW BERN, NC 28560-5206
(252) 638-3147
(252) 636-3170
Mailing address
153 DEEP RUN DRIVE, NEW BERN, NC 28560-5206
(252) 638-3147
(252) 636-3170

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6678
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1397F
BLUE CROSS BLUE SHIELD NC
NC
05
7412263
NC
Enumeration date
01/03/2006
Last updated
07/09/2007
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