Individual
MRS. WHITNEY RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
3801 W DEER BEND DR, HANOVER, IN 47243-9099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006504A
IN
235Z00000X
Speech-Language Pathologist
46002661A
IN
Other
Enumeration date
08/20/2014
Last updated
01/17/2023
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