Brianne Camilla Johnsen
Individual provider Active NPI Speech-Language Pathologist · Sandstone, MN
NPI 1962562009 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962562009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7745 (MN)
- Practice address
- 109 Court Ave S
Sandstone, MN 55072-5120 - Phone
- (320) 245-2211
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients |
Locations
1600 Miller Trunk Hwy
Ste 1300
Duluth, MN 55811
Phone (218) 786-3392
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7745 | MN | Yes |
Addresses
Primary practice location
109 Court Ave S
Sandstone, MN 55072-5120
Mailing address
109 Court Ave S
Sandstone, MN 55072-5120
Phone (320) 245-2211
Other providers in Sandstone, MN
- Ashley Mae Nichole Herold
- David Lawrence Holm
- Cody Michael Huse
- Sherwood Eric Jacobson
- Brent Merrill Jahnz
- Kevin Mark Johnson
- Lowell Johnson
- Luann Johnson
- KC Companies of Sandstone Inc/Sandstone Golden Horizons
- Chris A Ketchmark
All providers in Sandstone, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.