Frederick, Johnna

Frederick, Johnna is an sole proprietor health care provider with primary practice located at 2211 S Ih 35 Suite 300, Austin TX 78741-3865. 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. Frederick, Johnna can be contacted via phone (512) 394-0652.

Contact Information

Primary practice address
2211 S Ih 35 Suite 300 Austin TX 78741-3865
Phone: (512) 394-0652
Fax: (817) 789-6849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 19426 Texas

Profile Details

NPI number 1891032728
LBN Legal business name Frederick, Johnna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 13 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 1891032728 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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