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
Fax: (678) 623-5387
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952350191 NPPES
Georgia MEDICAID 000675474D

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