Individual
NANCY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
(360) 423-6850
Mailing address
1232 NE CEDAR RIDGE LOOP, VANCOUVER, WA 98664-2484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002876
WA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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