MEDICARE: MRS. AULOIS ZANE JOHNSON CCC, SLP

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1043736283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AULOIS ZANE JOHNSON CCC, SLP

Provider Business Mailing Address
First Line	:	1100 HIGH GROVE RD
Second Line	:
City	:	GRANDVIEW
State	:	MO
Zip	:	64030-2473
Country	:	US
Telephone Number	:	816-316-5232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 HIGH GROVE RD
Second Line	:
City	:	GRANDVIEW
State	:	MO
Zip	:	64030-2473
Country	:	US
Telephone Number	:	816-316-5232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2017
Last Update Date	:	08/18/2017

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Directions to “ MRS. AULOIS ZANE JOHNSON CCC, SLP” Practice Location

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