Individual
REILLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(615) 343-1540
Mailing address
1215 21ST AVE S FL 9, NASHVILLE, TN 37232-5523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7668
TN
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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