Individual
MINDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8168 LONE BOULDER ST, LAS VEGAS, NV 89113-4659
(702) 236-2266
(702) 476-9991
Mailing address
9056 RUSTY RIFLE AVE, LAS VEGAS, NV 89143-1165
(702) 236-2266
(702) 476-9991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1251
NV
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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