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NPI Code Detail

MEDICARE: KARA ROSE JOHNSON

MEDICARE: KARA ROSE 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
12355S0801XSpeech-Language Assistant2355S0801XAZ
2235Z00000XSpeech-Language PathologistSLP7656AZ

General Provider Information

NPI Number : 1447525571
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA ROSE JOHNSON
Provider Business Mailing Address
First Line : 2537 W PORTOBELLO AVE
Second Line :
City : MESA
State : AZ
Zip : 85202-7807
Country : US
Telephone Number : 480-907-4825
Fax Number :
Provider Business Practice Location Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number : 602-726-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2012
Last Update Date : 10/19/2023

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Directions to “ KARA ROSE 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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