Individual
AMANDA LANE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
320 CUSTER ROAD, RICHARDSON, TX 75080
(972) 490-9055
(972) 490-9058
Mailing address
320 CUSTER ROAD, RUCHARDSON, TX 75080
(972) 490-9055
(972) 490-9058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107458
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/08/2011
Last updated
05/13/2015
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