Provider Demographics
NPI:1801043476
Name:JOHNSON, PAULA R (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:R
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:G0321 NEUROSCIENCES HOSPITAL, AUDIOLOGY DEPT
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-0062
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:G0321 NEUROSCIENCES HOSPITAL, AUDIOLOGY DEPT
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7665231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist