Individual
JANET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
14635 PENNOCK AVE, SUITE 300, APPLE VALLEY, MN 55124-6430
(952) 997-2823
(952) 997-6931
Mailing address
2795 PILOT KNOB RD, STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060910200
—
MN
01
—
4600649
MEDICA
MN
01
—
96453JO
BCBS
MN
01
—
HP42421
HEALTH PARTNERS
MN
Enumeration date
02/07/2007
Last updated
10/11/2021
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