Individual
MRS. ANN FILLINGHAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, FORT WORTH, TX 76107-1360
(817) 814-2000
Mailing address
4201 LAKE VISTA DR, BENBROOK, TX 76132-2747
(254) 715-2249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10221
TX
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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