Individual
ALEXANDER S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S CCC-SLP
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
2547 LENWOOD LN NE, GRAND RAPIDS, MI 49525-3905
(616) 272-9255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14404401
MI
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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