Michael Johnston LLC

Speech-Language Pathologist · Stonewall, LA

Organization Active NPI

NPI number 1962157719

Practice location

128 Diane Lane Suite 4
Stonewall, LA 71078-9421
Phone
(318) 564-2171

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NPI record

NPI
1962157719
Entity type
Organization (Type 2)
Enumeration date
February 18, 2022
Last updated
April 1, 2022
Certified
April 1, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —
Occupational Therapist 225X00000X — —

Mailing address

212 Panther Dr
Stonewall, LA 71078-9421
Phone
(318) 564-2171

Authorized official

Name
Michael Bagley Johnston
Title
Speech Therapist/Owner
Phone
(318) 515-1488

Other names

  • FUNdamental Pediatric Therapy
  • FUNdamental Pediatric Therapy

About Michael Johnston LLC

Michael Johnston LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 128 Diane Lane Suite 4, Stonewall, LA 71078-9421. The NPI number 1962157719 was assigned on February 18, 2022 and the record was last updated on April 1, 2022.

The authorized official for this organization is Michael Bagley Johnston, Speech Therapist/Owner.

Frequently asked questions

What is the NPI number of Michael Johnston LLC?

The NPI number is 1962157719.

What is the phone number of Michael Johnston LLC?

The phone number listed for the practice location is (318) 564-2171.

Where is Michael Johnston LLC located?

128 Diane Lane Suite 4, Stonewall, LA 71078-9421.

What is the taxonomy code for Michael Johnston LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

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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