Individual
MRS. LAURYN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-4463
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 330-5069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013438
PA
Other
Enumeration date
01/03/2018
Last updated
03/24/2021
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