Individual
MRS. BRANDIE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(214) 575-2999
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17394
OR
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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