IndividualActive
Alicia Johnson, M.S. CCC-SLP
NPI 1124696026 · Speech-Language Pathologist · Coeur D Alene, ID
Provider details
- NPI number
- 1124696026
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-4645 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
411 W Haycraft Ave Ste D1
Coeur D Alene, ID 83815-8104
Phone: (208) 664-2468
Approximate (ZIP-level) locationGet directions
Mailing address
30138 Disney Ln
Vista, CA 92084-1230
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.