Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 APPLE HOUSE LN, MISSOULA, MT 59802
(406) 370-3913
Mailing address
125 APPLE HOUSE LN, MISSOULA, MT 59802
(406) 370-3913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
500
MT
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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