Individual
MS. MARTHA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
640 JACKSON ST # L, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
5915 MALLARD PONDS DR, WHITE BEAR TOWNSHIP, MN 55110-5791
(612) 598-4798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7272
MN
Other
Enumeration date
12/06/2008
Last updated
03/06/2023
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