Provider Demographics
NPI:1538036702
Name:SLP HEALING
Entity type:Organization
Organization Name:SLP HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST SLP
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:785-341-4142
Mailing Address - Street 1:17710 STATE ROUTE M
Mailing Address - Street 2:
Mailing Address - City:EDGAR SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65462-8305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17710 STATE ROUTE M
Practice Address - Street 2:
Practice Address - City:EDGAR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65462-8305
Practice Address - Country:US
Practice Address - Phone:785-341-4142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty