Johnson, Andrea

Johnson, Andrea is an sole proprietor health care provider with primary practice located at 4310 Ne 13Th Ter , Oakland Park FL 33334-4708. 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, Andrea can be contacted via phone (954) 829-2341.

Contact Information

Primary practice address
4310 Ne 13Th Ter Oakland Park FL 33334-4708
Phone: (954) 829-2341
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ4669 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12868 Florida

Profile Details

NPI number 1710130356
LBN Legal business name Johnson, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2008
Last updated Jul 13th, 2014 - about 11 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 1710130356 NPPES
Florida MEDICAID 000243400

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