Individual
AMANDA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 687-2035
Mailing address
8 ROSEWOOD CT, BLOOMINGTON, IL 61704-4834
(309) 738-4906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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