Johnna Kaye Headley
Johnna Kaye Headley is a Speech-Language Pathologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
923 Pennsylvania Ave Ste 100Fort Worth, TX 76104-2254
Phone: (817) 920-0484
Fax: (817) 920-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 117540 (TX) |
|---|
Record details
| NPI number | 1780356014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 5, 2021 |
| Mailing address | Po Box 961205, Fort Worth, TX 76161-0205 |
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