Individual
MR. BRANDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
4337 S RANGER TRL, GILBERT, AZ 85297-9733
(480) 202-9164
Mailing address
4337 S RANGER TRL, GILBERT, AZ 85297-9733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7089
AZ
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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