Provider Demographics
NPI:1699567115
Name:JOHNSON, ERIN RYLEE
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RYLEE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18645 ANTEBELLUM CT
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3265
Mailing Address - Country:US
Mailing Address - Phone:225-588-8332
Mailing Address - Fax:
Practice Address - Street 1:18645 ANTEBELLUM CT
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3265
Practice Address - Country:US
Practice Address - Phone:225-588-8332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist