Whalio Doctors

NPI 1093113763

Katie Johnson

Practitioner Speech-Language Assistant Fayetteville, AR

Practice location

Address
4419 W Pecan St, Fayetteville, AR 72704-7909
Phone
(870) 688-1308

Registered specialties

Speech-Language Assistant Primary
Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence 235580801X (AR)

Registry record

NPI
1093113763
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Dec 2014
Record last updated
12 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.