Individual
ALYSSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2520 SAND MINE RD, DAVENPORT, FL 33897-3402
(407) 910-2941
Mailing address
41334 US HIGHWAY 19 N # 1107, TARPON SPRINGS, FL 34689-5111
(727) 416-1230
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2952
FL
Other
Enumeration date
05/19/2018
Last updated
05/12/2023
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