Johnson, Wytona
Johnson, Wytona is an individual health care provider with primary practice located at 620 Powder Springs St Se Suite E, Smyrna GA 30080-3416. 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, Wytona can be contacted via phone (770) 438-6928.Contact Information
Primary practice address
620 Powder Springs St Se Suite E
Smyrna GA 30080-3416
Phone: (770) 438-6928
Fax: (678) 623-5387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP002031 | Georgia |
Profile Details
| NPI number | 1952350191 |
|---|---|
| LBN Legal business name | Johnson, Wytona |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jan 2nd, 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 | 1952350191 | NPPES |
| Georgia | MEDICAID | 000675474D |
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