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NPI Code Detail

MEDICARE: HALEIGH JOHNSON SLP-CFY

MEDICARE:   HALEIGH  JOHNSON  SLP-CFY
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 Pathologist

General Provider Information

NPI Number : 1134778798
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEIGH JOHNSON SLP-CFY
Provider Business Mailing Address
First Line : 4636 E MARGINAL WAY S STE B100
Second Line :
City : SEATTLE
State : WA
Zip : 98134-2322
Country : US
Telephone Number : 206-763-0352
Fax Number : 206-762-0111
Provider Business Practice Location Address
First Line : 4636 E MARGINAL WAY S STE B100
Second Line :
City : SEATTLE
State : WA
Zip : 98134-2322
Country : US
Telephone Number : 206-763-0352
Fax Number : 206-762-0111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2019
Last Update Date : 10/16/2020

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Directions to “ HALEIGH JOHNSON SLP-CFY” Practice Location

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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.