Individual
CARRIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
202 CAMDEN DRIVE, ROGERS, AR 72756
(870) 723-5610
Mailing address
202 CAMDEN DRIVE, ROGERS, AR 72756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12105924
ASHA ID #
—
Enumeration date
07/02/2007
Last updated
07/08/2007
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