Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
905 HUNTS POINTE CV, ALPHARETTA, GA 30022-8498
(678) 240-0908
(678) 240-0908
Mailing address
905 HUNTS POINTE CV, ALPHARETTA, GA 30022-8498
(678) 240-0908
(678) 240-0908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011623
ASHA CERTIFICATION ID#
GA
Enumeration date
11/30/2006
Last updated
07/08/2007
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