Individual
MS. SHERRY B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
14057 CIRRUS DR, BATON ROUGE, LA 70810-0452
(225) 291-5681
Mailing address
14057 CIRRUS DR, BATON ROUGE, LA 70810-0452
(225) 993-1570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2349
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457469
—
LA
Enumeration date
05/14/2007
Last updated
01/07/2020
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