Individual
LORI ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
350 E 300 N, AMERICAN FORK, UT 84003
(801) 756-3847
(801) 756-3847
Mailing address
849 N BUFFALO DR, SARATOGA SPRINGS, UT 84045
(801) 766-5084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
52816414102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5109
—
UT
Enumeration date
11/22/2006
Last updated
07/08/2007
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