Johnson, Debora L

Johnson, Debora L is an sole proprietor health care provider with primary practice located at 1700 Alameda St , Pomona CA 91768-1727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Debora L can be contacted via phone (909) 397-9247.

Contact Information

Primary practice address
1700 Alameda St Pomona CA 91768-1727
Phone: (909) 397-9247
Fax: (909) 397-9248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU1411 California

Profile Details

NPI number 1972658862
LBN Legal business name Johnson, Debora L
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972658862 NPPES
California MEDICAID AU0014110

Popular Providers