Individual
CHALLIE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
23830 COUNTY ROAD 48, LA SALLE, CO 80645-8612
(970) 451-1234
Mailing address
7931 W 55TH AVE APT 105, ARVADA, CO 80002-3704
(605) 770-9405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PLSP.0000967
CO
Other
Enumeration date
06/23/2022
Last updated
06/30/2022
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