Individual
PAYTON MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
(318) 396-1970
Mailing address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9169
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9169
STATE LICENSE
LA
Enumeration date
10/26/2022
Last updated
07/17/2023
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