Jenny L Johnson, MS, CCC-SLP | |
152 E Main St, Suite 110, Rigby, ID 83442-5266 | |
(208) 745-7101 | |
(208) 745-0068 |
Full Name | Jenny L Johnson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 152 E Main St, Rigby, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427295112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP-1810 (Idaho) | Primary |
Provider Name | Achieve Therapy And Learning Services, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205574399 PECOS PAC ID: 7113382110 Enrollment ID: O20230426001907 |
Mailing Address | Practice Location Address |
---|---|
Jenny L Johnson, MS, CCC-SLP 152 E Main St, Ste. 110, Rigby, ID 83442-5266 Ph: (208) 745-7101 | Jenny L Johnson, MS, CCC-SLP 152 E Main St, Suite 110, Rigby, ID 83442-5266 Ph: (208) 745-7101 |
Alissa Mcminn, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 Main Street, Box 10, Rigby, ID 83442 Phone: 208-745-7101 | |
James Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3993 E 460 N, Rigby, ID 83442 Phone: 208-313-5289 | |
Laurie Ann Bowcutt, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4667 E 100 N, Rigby, ID 83442 Phone: 208-881-6863 | |
Cornisa Marie Abeyta-gaxiola, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3749 E 190 N, Rigby, ID 83442 Phone: 208-252-4074 | |
Laura Tavenner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3421 E 200 N, Rigby, ID 83442 Phone: 208-709-3610 | |
Lindsay Winger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 152 E Maint St., #110, Rigby, ID 83442 Phone: 208-745-7101 |