Individual
MRS. JOHANNA NOEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1743 W NEWPORT AVE, APT 1, CHICAGO, IL 60657-1010
(240) 285-5471
Mailing address
1743 W NEWPORT AVE, APT 1, CHICAGO, IL 60657-1010
(240) 285-5471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012174
IL
Other
Enumeration date
08/19/2013
Last updated
11/15/2016
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