Individual
JEANNE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
DAGGY 133, PULLMAN, WA 99164-2420
(509) 335-1509
Mailing address
DAGGY 133, PULLMAN, WA 99164-2420
(509) 335-1509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002727
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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