Whalio Doctors

NPI 1225517717

Teresa Michelle Johnson, MSCFSLP

Practitioner Speech-Language Pathologist Mountain Home, ID

Practice location

Address
245 N 3rd E, Mountain Home, ID 83647-2734
Phone
(208) 587-8255

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-3578 (ID)

Registry record

NPI
1225517717
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Aug 2018
Record last updated
7 Aug 2018

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.