Individual
EVONDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
(301) 498-8100
Mailing address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05420
MD
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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