Individual
TABITHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1600 S 7TH ST, RICHMOND, IN 47374-6834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008708A
IN
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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