Individual
BREANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3520 EXECUTIVE CENTER DR STE 128, AUSTIN, TX 78731-1636
(612) 343-0222
Mailing address
5411 JAIN LN, AUSTIN, TX 78721-3022
(512) 940-7865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112860
TX
235Z00000X
Speech-Language Pathologist
Primary
30004826
NC
Other
Enumeration date
02/28/2018
Last updated
03/20/2026
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