Individual
KRISTI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
640 NORTH ST, PORTSMOUTH, VA 23704-2415
(757) 967-9926
Mailing address
4608 BURKETT CT, CHESAPEAKE, VA 23321-1279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005885
VA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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