Individual
MRS. ELLEN BETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC/SLP
Contact information
Practice address
120 N. 8TH AVE, SHOW LOW, AZ 85901
(928) 537-1705
Mailing address
PO BOX 1286, SHOW LOW, AZ 85902-1286
(928) 537-1705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1079
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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