Individual
MRS. CASSANDRA JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20402 N, 15TH AVE, PHOENIX, AZ 85027
(623) 445-5000
Mailing address
4417 E MURIEL DR, PHOENIX, AZ 85032-9257
(602) 561-8079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL2188
AZ
Other
Enumeration date
01/29/2007
Last updated
09/02/2016
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