Individual
ANDREA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 569-4300
(817) 569-4492
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4300
(817) 569-4492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209062303
—
TX
01
—
805087
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/16/2009
Last updated
01/30/2026
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