Individual
ELIZABETH ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
510 S ELLIOTT ST, SUITE C, PRYOR, OK 74361-6421
(918) 825-4837
Mailing address
5987 N 4413 RD, ADAIR, OK 74330-3220
(918) 785-2530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3478
OK
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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