Margaret Brothers Johnson, MHS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · High Ridge, MO

NPI 1972211969 · NPPES record last updated Nov 9, 2022

Key facts

NPI
1972211969
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2021021916 (MO)
Practice address
2901 High Ridge Blvd
High Ridge, MO 63049-2212
Phone
(636) 677-3996
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2021021916MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2021021916 MO Yes

Addresses

Primary practice location

2901 High Ridge Blvd
High Ridge, MO 63049-2212

Mailing address

4173 Juniata St FL 1
Saint Louis, MO 63116-3930
Phone (573) 673-3799

Other providers in High Ridge, MO

All providers in High Ridge, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.