| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ABIGAIL LENA JOHNSON | 1942937164 | 2022-08-07 |
Abigail Lena Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942937164. Registration indicates Abigail Lena Johnson is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Abigail Lena Johnson MED, CF-SLP |
| Practice Office Address | 309 W LAKE MEAD PKWY UNIT 100 HENDERSON, NV US |
| Practice Office Telephone | 7025502839 |
| Mailing Address | 1445 STONELAKE COVE AVE APT 11205 HENDERSON, NV 890747910 US |
| Business Telephone | 7026968054 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | |
| 193400000X SING | Group Code |