Individual
ALISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 TWIN DOLPHIN DR, SUITE 100, REDWOOD CITY, CA 94065-1133
(650) 318-1799
Mailing address
375 DE ANZA AVE, SAN CARLOS, CA 94070-4457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8823
CA
Other
Enumeration date
06/24/2014
Last updated
06/14/2015
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