Alexa Johanson

Speech-Language Pathologist · Bloomingdale, GA

Individual Active NPI

NPI number 1073490322

Practice location

335 Old Rail Rd
Bloomingdale, GA 31302-4025
Phone
(912) 421-0140

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NPI record

NPI
1073490322
Entity type
Individual (Type 1)
Enumeration date
August 19, 2025
Last updated
August 19, 2025
Certified
July 22, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X PCET004380 GA

Mailing address

119 Ruby Trl
Guyton, GA 31312-7001
Phone
(912) 856-2282

Other practice locations (1)

  • 103 E US Highway 80, Bloomingdale, GA 31302-9226 · (912) 421-0140

About Alexa Johanson

Alexa Johanson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 335 Old Rail Rd, Bloomingdale, GA 31302-4025. The NPI number 1073490322 was assigned on August 19, 2025 and the record was last updated on August 19, 2025.

Alexa Johanson lists a license in the registry: #PCET004380 (GA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexa Johanson?

The NPI number is 1073490322.

What is the phone number of Alexa Johanson?

The phone number listed for the practice location is (912) 421-0140.

Where is Alexa Johanson located?

335 Old Rail Rd, Bloomingdale, GA 31302-4025.

What is the taxonomy code for Alexa Johanson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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