Cassandra Johanson
Speech-Language Pathologist, in Phoenix, AZ. Individual provider (NPI-1).
NPI number1487790218
StatusActive
Last updated in NPPESSep 2, 2016
Details
- NPI
- 1487790218
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cassandra Johanson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Sep 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLPL2188 | AZ | Yes |
Practice location
20402 N, 15th AvePhoenix, AZ 85027
Phone 623-445-5000
Mailing address
4417 E Muriel DrPhoenix, AZ 85032-9257
Phone 602-561-8079
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