IndividualActive
Kimberly Johansen
NPI 1457180804 · Speech-Language Assistant · Logan, UT
Provider details
- NPI number
- 1457180804
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
421 W 300 N
Logan, UT 84321-3727
Phone: (530) 306-3008
Approximate (ZIP-level) locationGet directions
Mailing address
421 W 300 N
Logan, UT 84321-3727
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.