Nichole Johnson, MA, CCC/SLP-L in Centerville, SD - Speech-Language Pathologist

Nichole Johnson, MA, CCC/SLP-L is a Speech-language Pathologist based in Centerville, South Dakota. Nichole Johnson is licensed to practice in South Dakota (license number 015-SLP) and her current practice location is 610 Lincoln St, Centerville, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 563-2291.

NPI number for Nichole Johnson is 1790137834 and her current mailing address is 30437 University Rd, Centerville, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790137834.

Contact Information

	Nichole Johnson, MA, CCC/SLP-L
	610 Lincoln St, Centerville, SD 57014-2040
	(605) 563-2291
	Not Available

Healthcare Provider's Profile

Full Name	Nichole Johnson
Gender	Female
Speciality	Speech-language Pathologist
Location	610 Lincoln St, Centerville, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1790137834
Provider Enumeration Date: 07/12/2016
Last Update Date: 07/12/2016

Medical Identifiers

Medical identifiers for Nichole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790137834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	015-SLP (South Dakota)	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. Nichole 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 Address	Practice Location Address
Nichole Johnson, MA, CCC/SLP-L 30437 University Rd, Centerville, SD 57014-6536 Ph: (605) 563-2291	Nichole Johnson, MA, CCC/SLP-L 610 Lincoln St, Centerville, SD 57014-2040 Ph: (605) 563-2291

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Nichole Johnson, MA, CCC/SLP-L - Speech-Language Pathologist in Centerville, SD