| NPI | 1336816131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENA E JOHNSON Speech Language Pathologist/Owner 218-391-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |