Individual
MRS. LAUREN ELISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
932 BREASIDE LN, GREENWOOD, IN 46143-3127
(317) 441-4485
Mailing address
932 BREASIDE LN, GREENWOOD, IN 46143-3127
(317) 441-4485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002476A
IN
Other
Enumeration date
07/22/2013
Last updated
01/02/2015
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