Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 NW 122ND ST, OKLAHOMA CITY, OK 73114-8000
(405) 381-8165
Mailing address
2346 NW 20TH ST, OKLAHOMA CITY, OK 73107-3335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4201
OK
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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