Individual
MRS. HETTIE P JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5636 CHESTNUT TRCE, HOOVER, AL 35244-4586
(205) 368-0611
Mailing address
5636 CHESTNUT TRCE, HOOVER, AL 35244-4586
(205) 368-0611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
48
AL
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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