Individual
JANINE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1090 MED PARK DR., LAS CRUCES, NM 88005-3236
(575) 523-7243
(575) 525-5641
Mailing address
611 W. CHURCH ST., ROSWELL, NM 88203-4209
(469) 401-8687
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
40914
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP7034
NM
Other
Enumeration date
12/04/2018
Last updated
03/21/2022
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