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DOUGLAS ARTHUR JOHNSON CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1033255328

Individual Registrant:
 DOUGLAS ARTHUR JOHNSON CCC-SLP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
500 NORTH NAVAJO BOX 1927 PAGE, AZ 86040 US
Tel: 928-608-4300  Fax: 928-645-9285

Contact information for business:
PO BOX 4492 804 VILLAGE DRIVE PAGE, AZ 86040-4492 US
Tel: 928-645-1414  Fax: --

Registration Information:
NPI: 1033255328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZSLP4920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE-AZ DEPT OF HEALTSLP4920AZ01




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