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Individual

MARTHA PEARL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
4101 UNIVERSITY DR, ANCHORAGE, AK 99508-4625
(210) 219-9084
Mailing address
2440 E TUDOR RD PMB 163, ANCHORAGE, AK 99507-1185
(907) 213-0517

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
168824
AK

Other

Enumeration date
04/23/2014
Last updated
01/21/2025
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