NPI 1124696026

Alicia Johnson, MSCCCSLP

Practitioner Speech-Language Pathologist Coeur D Alene, ID

Practice location

Address: 411 W Haycraft Ave STE D1, Coeur D Alene, ID 83815-8104
Phone: (208) 664-2468
Mailing address: 30138 Disney Ln, Vista, CA 92084-1230

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-4645 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1124696026
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2021
Record last updated: 16 Jun 2021

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.