NPI 1346818242

Tia L Johnson, MSCCCSLP

Practitioner Speech-Language Pathologist Jackson, WY

Practice location

Address: 555 E Broadway Ave # 100, Jackson, WY 83001-8640
Phone: (307) 739-1864

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP-1039 (WY)

Other Speech-Language Pathologist providers in Wyoming →

Registry record

NPI: 1346818242
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.