Individual
JOHANNA DAWN PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7782 W. STATE RD 46, GREENSBURG, IN 47240
(812) 216-9067
(812) 933-9048
Mailing address
7782 W. STATE RD 46, GREENSBURG, IN 47240
(812) 216-9067
(812) 933-9048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22002819
IN
235Z00000X
Speech-Language Pathologist
Primary
22002819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200606120
RENDERING PROVIDER NUMBER
IN
05
—
200705660A
—
IN
Enumeration date
04/20/2007
Last updated
11/14/2014
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