Brentlee Johnson, SLP

Speech-Language Pathologist · Carterville, IL

Individual Active NPI

NPI number 1831662055

Practice location

1106 Falcon Ct
Carterville, IL 62918-1771
Phone
(870) 926-4319

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NPI record

NPI
1831662055
Entity type
Individual (Type 1)
Enumeration date
January 10, 2019
Last updated
September 23, 2021
Certified
September 23, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 200968 AR

About Brentlee Johnson

Brentlee Johnson, SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1106 Falcon Ct, Carterville, IL 62918-1771. The NPI number 1831662055 was assigned on January 10, 2019 and the record was last updated on September 23, 2021.

Brentlee Johnson lists a license in the registry: #200968 (AR) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brentlee Johnson, SLP?

The NPI number is 1831662055.

What is the phone number of Brentlee Johnson?

The phone number listed for the practice location is (870) 926-4319.

Where is Brentlee Johnson located?

1106 Falcon Ct, Carterville, IL 62918-1771.

What is the taxonomy code for Brentlee Johnson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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