Individual
JUSTIN BAILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CF-SLP
Contact information
Practice address
400 SHALL ST, LITTLE ROCK, AR 72202-2730
(501) 214-6722
Mailing address
400 SHALL ST, LITTLE ROCK, AR 72202-2730
(500) 121-4672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201104
AR
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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