Individual
HALEY RENAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 N QUENTIN RD, NEWARK, OH 43055-4623
(740) 349-6084
Mailing address
6430 PALMER PARK CIR E, APARTMENT 203, NEW ALBANY, OH 43054
(937) 409-9001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20222121-SP
OH
235Z00000X
Speech-Language Pathologist
OH3422367
OH
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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