Johnson, Tracy L.

Johnson, Tracy L. is an sole proprietor health care provider with primary practice located at 2700 Feather Run Trl Apt. E20, West Columbia SC 29169-4966. 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, Tracy L. can be contacted via phone (803) 926-3699.

Contact Information

Primary practice address
2700 Feather Run Trl Apt. E20 West Columbia SC 29169-4966
Phone: (803) 926-3699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3595 South Carolina

Profile Details

NPI number 1134322324
LBN Legal business name Johnson, Tracy L.
Credentials ED.D. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1134322324 NPPES
South Carolina MEDICAID SA0559

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