Individual
LISA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W ELLIOT RD # 107-250, TEMPE, AZ 85284-1328
(480) 634-5440
(480) 939-3439
Mailing address
1980 E ORION ST, TEMPE, AZ 85283-3235
(918) 407-0390
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9447
AZ
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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