Individual
GLENDA BYRD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
1087 13TH ST SE, HICKORY, NC 28602-4165
(828) 267-1688
(828) 267-1690
Mailing address
1087 13TH ST SE, HICKORY, NC 28602-4165
(828) 267-1688
(828) 267-1690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159CR
BCBSNC
NC
05
—
7413359
—
NC
Enumeration date
06/30/2010
Last updated
11/02/2010
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