Individual
RICKIBETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
107 FINANCIAL DRIVE, ELIZABETHTOWN, KY 42701
(279) 763-8225
Mailing address
1309 SUN WAY APT D, BOWLING GREEN, KY 42104-5423
(270) 820-5646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
266124
KY
Other
Enumeration date
11/08/2020
Last updated
11/09/2020
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