Individual
NATALIE M JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
420 12TH AVE E, ALEXANDRIA, MN 56308-2612
(320) 335-8697
Mailing address
420 12TH AVE E, ALEXANDRIA, MN 56308-2612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LICC-3900
MN
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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