Johnson, Susan

Johnson, Susan is an individual health care provider with primary practice located at 602 Vonderburg Dr Suite 201, Brandon FL 33511-5900. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Susan can be contacted via phone (813) 653-1149.

Contact Information

Primary practice address
602 Vonderburg Dr Suite 201 Brandon FL 33511-5900
Fax: (813) 654-6644
Website:

Health care specialties

Profile Details

NPI number 1558491779
LBN Legal business name Johnson, Susan
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Apr 28th, 2016 - about 8 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 1558491779 NPPES
Florida MEDICAID 017143200

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