Individual
MS. SHERYL JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC A, FAAA
Contact information
Practice address
5033 SWAMP RD, STE 502, FOUNTAINVILLE, PA 18923-9606
(215) 345-4544
(215) 345-9145
Mailing address
PO BOX 245, FOUNTAINVILLE, PA 18923-0245
(215) 345-4544
(215) 345-9145
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000563L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256242000
KEYSTONE EAST
PA
01
—
2082374
USHC/AETNA
PA
Enumeration date
05/24/2005
Last updated
11/22/2019
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