Individual
CAROLINE ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W PEMBROKE AVE, DALLAS, TX 75208-6535
(512) 297-5955
Mailing address
4717 TWIN VALLEY DR, AUSTIN, TX 78731-3536
(512) 297-5955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115118
TX
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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