Individual provider · Type 1 NPI
Kimberly Johansen
Speech-Language Assistant · Logan, UT
NPI number
1457180804
Active
Practice location
421 W 300 N
Logan, UT 84321-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
About NPI 1457180804
Kimberly Johansen's National Provider Identifier is 1457180804, issued on Aug 1, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Logan, UT. The record was last updated on Aug 1, 2024.