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Search › Colorado › 225100000X

Stephanie Johnson

NPI 1891268900 · on the registry since 2019 · sole proprietor

Practice

Address
1321 S Prairie Ave
Pueblo, CO 81005
Phone
(719) 597-0822
Organisation at this address
Buck Jack Llc
Buck Jack Llc
Buck Jack, Llc
Buck Jack, Llc
Amy Shandy, Speech-Language Pathologist, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado