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Jeffrey Johnson, SLP

Speech-Language Pathologist, in Jackson, TN. Individual provider (NPI-1).

NPI number1326469578
StatusActive
Last updated in NPPESDec 13, 2013

Details

NPI
1326469578
Entity type
Individual (NPI-1)
Name
Jeffrey Johnson
Credential
SLP
Sex
Male
Sole proprietor
No
Enumeration date
Dec 13, 2013
Last updated
Dec 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,1076TNYes

Practice location

101 Jackson Walk Plz
Jackson, TN 38301-3008

Phone 731-427-7048 · Fax 731-660-8739

Mailing address

101 Jackson Walk Plz
Jackson, TN 38301-3008

Phone 731-427-7048 · Fax 731-660-8739

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