Individual
BETHANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W OAKLAND AVE STE 205, JOHNSON CITY, TN 37604-1673
(423) 282-1700
Mailing address
418 CHRISTIAN BEND RD, CHURCH HILL, TN 37642-5133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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