Individual
MS. DEANNA EDYTHE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/CCC
Contact information
Practice address
1445 HOWELL AVE, BROOKSVILLE, FL 34601-1502
(352) 799-1451
Mailing address
183 S PALADINN CIR, INVERNESS, FL 34453-9012
(352) 344-0625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10284
FL
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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