Individual
MS. MIRANDA LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2846 S SPECTRUM WAY, GILBERT, AZ 85295-6176
(480) 917-0117
Mailing address
1550 N STAPLEY DR UNIT 42, MESA, AZ 85203-3702
(602) 577-3227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10648
AZ
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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