Individual
CIARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1308 VERMEER DR, NOKOMIS, FL 34275-4464
(941) 993-2067
Mailing address
1308 VERMEER DR, NOKOMIS, FL 34275-4464
(941) 993-2067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15580
FL
235Z00000X
Speech-Language Pathologist
SZ7753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018605300
—
FL
01
—
15580
FLORIDA DEPARTMENT OF HEALTH
FL
01
—
SZ7753
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/24/2016
Last updated
03/21/2025
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