Johnson, Susan
Johnson, Susan is an sole proprietor health care provider with primary practice located at 353 Ambrose Creek Dr , Sugar Hill GA 30518-7870. 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, Susan can be contacted via phone (770) 235-4582.Contact Information
Primary practice address
353 Ambrose Creek Dr
Sugar Hill GA 30518-7870
Phone: (770) 235-4582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004972 | Georgia |
Profile Details
| NPI number | 1164529210 |
|---|---|
| LBN Legal business name | Johnson, Susan |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 5th, 2009 - about 17 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 | 1164529210 | NPPES |
| Georgia | MEDICAID | 000940486C |
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