Johnah Brown

Individual provider Active NPI Developmental Therapist · Calhoun, KY

NPI 1689329005 · NPPES record last updated Feb 22, 2022

Key facts

NPI
1689329005
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
601 Haynes Scott Rd
Calhoun, KY 42327-9718
Phone
(270) 499-1844
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

601 Haynes Scott Rd
Calhoun, KY 42327-9718

Mailing address

601 Haynes Scott Rd
Calhoun, KY 42327-9718
Phone (270) 499-1844

Other providers in Calhoun, KY

All providers in Calhoun, KY · Developmental Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.