NPI 1235873134

Etoy Johnson

Practitioner Speech-Language Assistant Beaumont, TX

Practice location

Address: 565 S Major Dr, Beaumont, TX 77707-1536
Phone: (409) 617-7103
Mailing address: 3395 Harrison Ave, Beaumont, TX 77706-5009

Registered specialties

Speech-Language Assistant Primary

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence 33898 (TX)

Other Specialist/Technologist providers in Texas →

Registry record

NPI: 1235873134
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2022
Record last updated: 26 Apr 2022

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.