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NPI Code Detail

MEDICARE: MICHELLE ANNETTE JOHNSON CCC-SLP

MEDICARE: MICHELLE ANNETTE 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
1235Z00000XSpeech-Language Pathologist270870CO

General Provider Information

NPI Number : 1942034236
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANNETTE JOHNSON CCC-SLP
Provider Business Mailing Address
First Line : 155 PANTHER WAY
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-3165
Country : US
Telephone Number : 719-685-2460
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 : 719-685-2460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/28/2024

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Directions to “ MICHELLE ANNETTE JOHNSON CCC-SLP” 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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