Individual
JENNIFER LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
376 PASCOE BLVD, APT 22, BOWLING GREEN, KY 42104-5455
(270) 535-2639
Mailing address
376 PASCOE BLVD, APT 22, BOWLING GREEN, KY 42104-5455
(270) 535-2639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY3383
KY
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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