Organization
ELEMENTS OF SPEECH, SPEECH-LANGUAGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA D JOHNSON M.ED., CCC/SLP (OWNER)
(919) 359-2037
Entity
Organization
Contact information
Practice address
600 DEEP FOREST LN, CLAYTON, NC 27527-6270
(919) 359-2037
(919) 359-2038
Mailing address
600 DEEP FOREST LN, CLAYTON, NC 27527-6270
(919) 359-2037
(919) 359-2038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200392
—
NC
Enumeration date
09/29/2010
Last updated
07/10/2013
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