Madora Mckinney Johnso in Brandon - Speech-language Pathologist
Madora Mckinney Johnso - NPI 1619151735
Madora Mckinney Johnso is a Speech-language Pathologist in Brandon, Mississippi. Madora Mckinney Johnso practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Madora Mckinney Johnso is 1619151735. The last update date is 2018-04-17.
Madora Mckinney Johnso's current location address is 6100 Old Brandon Rd, Brandon, Mississippi. You can contact this provider via phone number 6016384076 and fax number 6018832232. The mailing address for Madora Mckinney Johnso is 6100 Old Brandon Rd, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madora Mckinney Johnso |
|---|---|
| Address | 6100 Old Brandon Rd, Brandon, Mississippi |
| Phone Number | 6016384076 |
| Fax Number | 6018832232 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1619151735 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2018-04-17 |
Provider Mailing Address Detail
| Address | 6100 Old Brandon Rd |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390422543 |
| Phone Number | 6016384076 |
| Fax Number | 6018832232 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | S3182 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50976 | MS | BCBS OF MISSISSIPPI |
Post Comment/ Review Below
What is the Madora Mckinney Johnso's unique identification number?
The Madora Mckinney Johnso has been assigned the NPI (National Provider Identifier) Number 1619151735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Madora Mckinney Johnso?
The Madora Mckinney Johnso is physically situated at 6100 Old Brandon Rd, in the city of Brandon, state of MS, with the postal code 390422543.
What is Madora Mckinney Johnso's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Madora Mckinney Johnso is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
When did the Madora Mckinney Johnso receive its 1619151735?
The Madora Mckinney Johnso was issued its 1619151735 on 2007-12-26, which is the date when the organization was assigned this unique identifier.
When was the information related to Madora Mckinney Johnso most recently updated or refreshed?
The details pertaining to the Madora Mckinney Johnso, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-04-17.
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