Individual
CASSIDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12601 N AGNES AVE, KANSAS CITY, MO 64166-1042
(816) 405-7940
Mailing address
12601 N AGNES AVE, KANSAS CITY, MO 64166-1042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022037486
MO
235Z00000X
Speech-Language Pathologist
5345
KS
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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