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NPI Code Detail

MEDICARE: DENISE DA PRA JOHNSON SPEECH THERAPIST

MEDICARE:   DENISE DA PRA JOHNSON  SPEECH THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA587FL

General Provider Information

NPI Number : 1134751100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE DA PRA JOHNSON SPEECH THERAPIST
Provider Business Mailing Address
First Line : 2900 SALERNO WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-7148
Country : US
Telephone Number : 561-501-1983
Fax Number : 561-270-6965
Provider Business Practice Location Address
First Line : 2900 SALERNO WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-7148
Country : US
Telephone Number : 561-501-1983
Fax Number : 561-270-6965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2020
Last Update Date : 02/07/2020

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Directions to “ DENISE DA PRA JOHNSON SPEECH THERAPIST” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.