Individual provider · Type 1 NPI
Melissa Sue Johnson, BASLPA
Speech-Language Assistant · Fort Walton Beach, FL
NPI number
1811078900
Active
Practice location
4 Jackson Street NE
Fort Walton Beach, FL 32578
Fax (850) 862-2421
Mailing address
540 Garden Oaks Cove
Niceville, FL 32578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SI 1269 (FL) |
Speech-Language Assistant: Definition to come...
About NPI 1811078900
Melissa Sue Johnson, BASLPA's National Provider Identifier is 1811078900, issued on Oct 17, 2006. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 8, 2007.