Johnson, Desiree M
Johnson, Desiree M is an individual health care provider with primary practice located at 12605 East Fwy Ste 200, Houston TX 77015-5625. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Johnson, Desiree M can be contacted via phone (830) 832-1417.Contact Information
Primary practice address
12605 East Fwy Ste 200
Houston TX 77015-5625
Phone: (830) 832-1417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 34524 | Texas |
Profile Details
| NPI number | 1225302185 |
|---|---|
| LBN Legal business name | Johnson, Desiree M |
| Credentials | B.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2012 |
| Last updated | Feb 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225302185 | NPPES |
| Texas | MEDICAID | 602SILVA |
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