Individual
MAGGIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3913 HIGHWAY 14, NEW IBERIA, LA 70560-9435
(337) 577-4100
(337) 660-2241
Mailing address
3913 HIGHWAY 14, NEW IBERIA, LA 70560-9435
(337) 577-4100
(337) 660-2241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9067
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9067
LBESPA
LA
Enumeration date
06/02/2022
Last updated
06/02/2022
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