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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891032728 | NPPES |
| Texas | MEDICAID | 149984001 | |
| Texas | MEDICAID | 207164901 |
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