Individual
REBECCA LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
7470 OLD CAMP RD, LANEXA, VA 23089-5134
(757) 784-0264
Mailing address
7470 OLD CAMP RD, LANEXA, VA 23089-5134
(757) 784-0264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006958
VA
Other
Enumeration date
03/04/2013
Last updated
02/27/2021
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