Wagner, Johanna Linnea

Wagner, Johanna Linnea is an individual health care provider with primary practice located at 112 Three West Pkwy , Villa Rica GA 30180-4778. 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. Wagner, Johanna Linnea can be contacted via phone (770) 459-6533.

Contact Information

Primary practice address
112 Three West Pkwy Villa Rica GA 30180-4778
Phone: (770) 459-6533
Fax: (770) 462-1260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP012557 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET003613 Georgia

Profile Details

NPI number 1154052041
LBN Legal business name Wagner, Johanna Linnea
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2022
Last updated May 16th, 2023 - about 2 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

Popular Providers