Johanssen, Tammy

Johanssen, Tammy is an individual health care provider with primary practice located at 600 Sunset Ave , Clinton NC 28328-3946. 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. Johanssen, Tammy can be contacted via phone (910) 299-0700.

Contact Information

Primary practice address
600 Sunset Ave Clinton NC 28328-3946
Phone: (910) 299-0700
Fax: (910) 299-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9617 North Carolina

Profile Details

NPI number 1891073748
LBN Legal business name Johanssen, Tammy
Credentials M.ED, CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2011
Last updated Oct 19th, 2011 - about 15 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 1891073748 NPPES
North Carolina MEDICAID 7413581

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