Individual
KATHRYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
874 11TH ST, IDAHO FALLS, ID 83404-5058
(208) 244-2882
(208) 528-2808
Mailing address
874 11TH ST, IDAHO FALLS, ID 83404-5058
(208) 244-2882
(208) 528-2808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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