IndividualActive
Jessica Johnson, SLP/A
NPI 1649917626 · Speech-Language Assistant · Douglas, WY
Provider details
- NPI number
- 1649917626
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Credential
- SLP/A
- Sex
- Female
- Sole proprietor
- No
- License
- SLPA-050 (WY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
615 Hamilton St
Douglas, WY 82633-2615
Phone: (307) 358-2942
Approximate (ZIP-level) locationGet directions
Mailing address
615 Hamilton St
Douglas, WY 82633-2615
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.