Individual
MRS. KELLI MICHELLE CHAULK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, SPEECH CLINIC 126, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3404
Mailing address
PO BOX 4000, VA MEDICAL CENTER SPEECH CLINIC 126, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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