Individual
MICHELLE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12662 COURAGE XING, FISHERS, IN 46037-5962
(317) 590-2423
(317) 774-0788
Mailing address
PO BOX 1103, NOBLESVILLE, IN 46061-1103
(317) 590-2423
(317) 774-0788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003518A
IN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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