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
Phone: (813) 653-1149
Fax: (813) 654-6644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146008590 | Illinois |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA14468 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558491779 | NPPES |
Florida | MEDICAID | 017143200 |
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