Individual
KRISTA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10908 OLD HARRODS WOODS CIR, LOUISVILLE, KY 40223-2458
(505) 860-7512
Mailing address
10908 OLD HARRODS WOODS CIR, LOUISVILLE, KY 40223-2458
(505) 860-7512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004153A
IN
235Z00000X
Speech-Language Pathologist
Primary
4271
KY
Other
Enumeration date
09/03/2009
Last updated
05/12/2015
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