Individual
SOPHIA RENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
301 DIVISION ST S, NORTHFIELD, MN 55057-2035
(507) 205-2020
Mailing address
519 SUMMIT LN, DUNDAS, MN 55019-4130
(952) 693-3872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14503393
MN
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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