Individual
THUMPER VL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC ASLP
Contact information
Practice address
310 S HILLSIDE ST, WICHITA, KS 67211-2129
(316) 684-2838
(316) 684-3326
Mailing address
818 E EMPORIA, STE 200, WICHITA, KS 67214-3788
(316) 263-0296
(316) 684-3326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
37
KS
237600000X
Audiologist-Hearing Aid Fitter
37
KS
237700000X
Hearing Instrument Specialist
837
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640004569
MC RAILROAD
—
Enumeration date
08/09/2005
Last updated
06/25/2014
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