Provider Demographics
NPI:1467616623
Name:JOHNSON, HURIYA UHURA (MSP/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:HURIYA
Middle Name:UHURA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MSP/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BARNLEY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9295
Mailing Address - Country:US
Mailing Address - Phone:803-609-2330
Mailing Address - Fax:
Practice Address - Street 1:8 BARNLEY CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9295
Practice Address - Country:US
Practice Address - Phone:803-609-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3348235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist