| NPI | 1760718902 |
|---|---|
| Former Name | DEANNA NICOLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005329) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006541) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-10-26 |