Organization
SPOKANE SPEECH LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET MARIE JOHNSTON CCC-SLP (MANAGER/SPEECH LANGUAGE PATHOLOGIST)
(509) 710-5084
Entity
Organization
Contact information
Practice address
4407 N DIVISION ST, SUITE 303, SPOKANE, WA 99207-1600
(509) 710-5084
Mailing address
4407 N DIVISION ST, SUITE 303, SPOKANE, WA 99207-1600
(509) 710-5084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8320574
—
WA
Enumeration date
04/19/2010
Last updated
04/19/2010
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