NPI 1164783171

Laura Vanessa Johnson, AUD

Practitioner Audiologist Russellville, AR

Practice location

Address: 221 N Phoenix Ave, Russellville, AR 72801-2825
Phone: (479) 886-0908

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 380 (AR)

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Registry record

NPI: 1164783171
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2012
Record last updated: 30 May 2023

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.