Individual
ELYSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
455 THELMA DR, CASPER, WY 82609-2324
(307) 472-3327
Mailing address
4120 S POPLAR ST, CASPER, WY 82601-6104
(307) 333-2873
(307) 333-4034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2853
WI
235Z00000X
Speech-Language Pathologist
Primary
SP-732
WY
Other
Enumeration date
12/19/2006
Last updated
06/29/2018
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