Individual
MICHAELA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1307 ROGERS DR, PAPILLION, NE 68046-6143
(402) 898-0469
Mailing address
9115 DREXEL CIR, OMAHA, NE 68127-4461
(402) 681-3405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
NE
01
—
568946544
BCBS
NE
01
—
5874
HEALTH PARTNERS
NE
Enumeration date
09/14/2023
Last updated
09/14/2023
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