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Contact Information

SANDRA G JOHNSON
749 DRISKILL DRIVE
RICHMOND, MO64085
 Phone: 816-776-5838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SANDRA G JOHNSON · (Female)

NPI Number 1669849170
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2015
Last updated 09/01/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MO Medicaid 463521203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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