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NPI Code Detail

MEDICARE: HOLLY CHRISTINE JOHNSON

MEDICARE: HOLLY CHRISTINE JOHNSON
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 PathologistSLP.0006114CO

General Provider Information

NPI Number : 1548093800
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY CHRISTINE JOHNSON
Provider Business Mailing Address
First Line : 155 PANTHER WAY
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-3165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 PANTHER WAY
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-3165
Country : US
Telephone Number : 719-686-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 09/05/2024

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Directions to “ HOLLY CHRISTINE JOHNSON ” 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.

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