Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JOHANSEN
Active Sole ProprietorKIMBERLY JOHANSEN is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in LOGAN, Utah. NPI 1457180804 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · LOGAN, UT
Registration Details
- NPI Number
- 1457180804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2024 (2.0535462443005 yrs)
- Last Updated
- Aug 1, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
421 W 300 NLOGAN, UT, 843213727Browse UT providers · Browse ZIP 84321
- Phone
- 5303063008
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.