| Mrs Carissa Johnson, MS, CCC | |
|
5207 Granite Ridge Dr, Lithia, FL 33547-1845 | |
| (813) 220-2730 | |
| Not Available |
| Full Name | Mrs Carissa Johnson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5207 Granite Ridge Dr, Lithia, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952499212 | NPI | - | NPPES |
| S2755 | Other | FL | BC/BS OF FLORIDA # |
| 812018800 | Medicaid | FL | |
| 889202400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA7318 (Florida) | Primary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carissa Johnson, MS, CCC 5207 Granite Ridge Dr, Lithia, FL 33547-1845 Ph: (813) 220-2730 | Mrs Carissa Johnson, MS, CCC 5207 Granite Ridge Dr, Lithia, FL 33547-1845 Ph: (813) 220-2730 |
Donna M Poth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5920 Beaconpark St, Lithia, FL 33547 Phone: 813-413-7785 Fax: 407-386-7132 |
Jhenna Rae Cross, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6131 Skylarkcrest Dr, Lithia, FL 33547 Phone: 810-247-0818 |
Mrs. Barbara R Martin, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16916 Harrierridge Pl, Lithia, FL 33547 Phone: 813-504-7228 |
Mrs. Amanda Frissell, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5941 Fishhawk Crossing Blvd, Lithia, FL 33547 Phone: 813-217-1525 |
Katie Laura Cafaro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18116 Lithia Ranch Rd, Lithia, FL 33547 Phone: 813-846-4966 |
Mara N Cannon-brooks, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5920 Beaconpark St, Lithia, FL 33547 Phone: 813-413-7785 Fax: 407-386-7132 |
Mrs. Deborah Garrett Lawrence, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6324 Bridgevista Dr, Lithia, FL 33547 Phone: 813-817-5269 |