Individual
MRS. DESIREE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
12605 EAST FWY, STE 200, HOUSTON, TX 77015-5625
(830) 832-1417
Mailing address
12605 EAST FWY, STE 200, HOUSTON, TX 77015-5625
(830) 832-1417
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602SILVA
—
TX
Enumeration date
02/23/2012
Last updated
02/23/2012
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