Individual
STEPHANIE DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
25255 HIGHWAY 5, SUITE I, LONSDALE, AR 72087-9519
(501) 922-6333
Mailing address
25255 HIGHWAY 5, SUITE I, LONSDALE, AR 72087-9519
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
231
AR
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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