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Individual

MRS. KAYLA RENEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
758 CONGRESS HILL RD, FRANKLIN, PA 16323-3612
(814) 657-3997
Mailing address
1130 BAKER RD, FRANKLIN, PA 16323-7403
(814) 758-4693

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012853
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028641660001
PA
Enumeration date
03/18/2016
Last updated
08/14/2023
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