Mrs Tia L Johnson, MS, CCC-SLP - Speech-Language Pathologist in Jackson, WY

Mrs Tia L Johnson, MS, CCC-SLP is a Speech-language Pathologist based in Jackson, Wyoming. Mrs Tia L Johnson is licensed to practice in Wyoming (license number SP-1039) and her current practice location is 555 E Broadway Ave # 100, Jackson, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 739-1864.

NPI number for Mrs Tia L Johnson is 1346818242 and her current mailing address is 555 E Broadway Ave # 100, Jackson, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346818242.

Contact Information

Mrs Tia L Johnson, MS, CCC-SLP
555 E Broadway Ave # 100,
Jackson, WY 83001-8640
(307) 739-1864
Not Available



Healthcare Provider's Profile

Full NameMrs Tia L Johnson
GenderFemale
SpecialitySpeech-language Pathologist
Location555 E Broadway Ave # 100, Jackson, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346818242
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 06/16/2021

Medical Identifiers

Medical identifiers for Mrs Tia L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346818242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP-1039 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tia L Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tia L Johnson, MS, CCC-SLP
555 E Broadway Ave # 100,
Jackson, WY 83001-8640

Ph: () -
Mrs Tia L Johnson, MS, CCC-SLP
555 E Broadway Ave # 100,
Jackson, WY 83001-8640

Ph: (307) 739-1864

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› Verified 4 days ago


Speech-Language Pathologist in Jackson, WY

Samantha Stasi, MS CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Broadway Ave Ste 100, Jackson, WY 83001
Phone: 307-739-7306    
Lara Cilo, M.S., CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1300 W. Valley Springs Road, Jackson, WY 83001
Phone: 307-733-3971    
Aaron Bilotta,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 185 South Willow Street, Jackson, WY 83001
Phone: 307-733-3791    
Patricia Drui, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Broadway Ave, Suite 100, Jackson, WY 83001
Phone: 307-739-1864    
Christopher Smithwick,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 625 E Broadway Ave, Jackson, WY 83001
Phone: 307-733-3636    
Megan Santacroce,
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 185 South Willow, Jackson, WY 83001
Phone: 307-733-3791    

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