Bozeman, Johanna Linnea
Bozeman, Johanna Linnea is an individual health care provider with primary practice located at 112 Three West Pkwy , Villa Rica GA 30180-4778. 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. Bozeman, Johanna Linnea can be contacted via phone (770) 459-6533.Contact Information
Primary practice address
112 Three West Pkwy
Villa Rica GA 30180-4778
Phone: (770) 459-6533
Fax: (770) 462-1260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP012557 | Georgia |
Profile Details
| NPI number | 1154052041 |
|---|---|
| LBN Legal business name | Bozeman, Johanna Linnea |
| Credentials | M.ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 19th, 2026 - about 5 months 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 | 1154052041 | NPPES |
| Georgia | MEDICAID | 003285781A |
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