Individual
MRS. JOHNNA CHRISTEEN DEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-3060
(618) 457-5372
Mailing address
3724 BOSKYDELL RD, CARBONDALE, IL 62903-7624
(618) 351-6574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005510
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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