Individual
DR. JUDY HELEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1304 COTTAGE LANE AVE, KIRKSVILLE, MO 63501-4510
(708) 710-0310
Mailing address
1304 COTTAGE LANE AVE, KIRKSVILLE, MO 63501-4510
(708) 710-0310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146004725
IL
235Z00000X
Speech-Language Pathologist
Primary
2005023175
MO
Other
Enumeration date
06/04/2009
Last updated
04/01/2020
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