Individual
MRS. AMY ACHENBACH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
PROVIDENCE PLACE, 2200 FIRST AVENUE, POTTSVILLE, PA 17901
(570) 628-6950
Mailing address
1536 MAHANTONGO ST., POTTSVILLE, PA 17901
(570) 628-2425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007050
PA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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