Individual
AMARILIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
124 HIGH VALLEY DR, CHESTERFIELD, MO 63017-2768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2026027593
MO
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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