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Julie Johnson

Speech-Language Pathologist, in Alexandria, VA. Individual provider (NPI-1).

NPI number1124452016
StatusActive
Last updated in NPPESJul 5, 2016

Details

NPI
1124452016
Entity type
Individual (NPI-1)
Name
Julie Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2013
Last updated
Jul 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,08180MDYes
235Z00000X Speech-Language Pathologist,2013030776MO

Practice location

4732 Rouge Ct
Alexandria, VA 22312-1613

Phone 609-330-1653

Mailing address

4732 Rouge Ct
Alexandria, VA 22312-1613

Phone 609-330-1653

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