Johnson, Carly

Johnson, Carly is an individual health care provider with primary practice located at 46 Prince St Ste 601 , New Haven CT 06519-1634. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Carly can be contacted via phone (203) 752-1726.

Contact Information

Primary practice address
46 Prince St Ste 601 New Haven CT 06519-1634
Fax: (855) 451-0554
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000672 Connecticut

Profile Details

NPI number 1285153395
LBN Legal business name Johnson, Carly
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Oct 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285153395 NPPES
Connecticut Other 000672 CT LICENSE
Connecticut Other 15400058 CT LICENSE

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