Individual
DEANNA JUNELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,C.C.C.-L.S.L.P.
Contact information
Practice address
1608 20TH AVE, MCPHERSON, KS 67460-6514
(620) 229-4162
Mailing address
1608 20TH AVE, MCPHERSON, KS 67460-6514
(620) 229-4162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
KS
171M00000X
Case Manager/Care Coordinator
—
KS
222Q00000X
Developmental Therapist
—
KS
235Z00000X
Speech-Language Pathologist
218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2ENPIID
—
KS
Enumeration date
04/23/2007
Last updated
03/28/2018
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