Individual
MRS. CARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
5207 GRANITE RIDGE DR, LITHIA, FL 33547-1845
(813) 220-2730
Mailing address
5207 GRANITE RIDGE DR, LITHIA, FL 33547-1845
(813) 220-2730
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA7318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812018800
—
FL
05
—
889202400
—
FL
01
—
S2755
BC/BS OF FLORIDA #
FL
Enumeration date
10/11/2006
Last updated
10/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us