Individual
CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W ADA AVE, GLENDORA, CA 91741
(626) 335-9810
(626) 963-0720
Mailing address
401 W ADA AVE, GLENDORA, CA 91741
(626) 335-9810
(626) 963-0720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2795
CA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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