Johnson, Miranda Jo

Johnson, Miranda Jo is an individual health care provider with primary practice located at 4575 23Rd Ave S Ste 500 , Fargo ND 58104-8784. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Miranda Jo can be contacted via phone (701) 347-1782.

Contact Information

Primary practice address
4575 23Rd Ave S Ste 500 Fargo ND 58104-8784
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2684 North Dakota

Profile Details

NPI number 1184466252
LBN Legal business name Johnson, Miranda Jo
Credentials MS CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2024
Last updated Jul 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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