Provider Demographics
NPI:1235647975
Name:JOHNSON, CLAUDIA SERRANO (MS)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:SERRANO
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 S MANCHESTER ST APT 1127
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2718
Mailing Address - Country:US
Mailing Address - Phone:703-606-8177
Mailing Address - Fax:
Practice Address - Street 1:1426 N QUINCY ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3646
Practice Address - Country:US
Practice Address - Phone:703-228-6065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA220200819235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA220200819Medicaid