Provider Demographics
NPI:1831087972
Name:SWEDBERG, JOHANNA JEAN
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:JEAN
Last Name:SWEDBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6021 CHEVIGNY ST # A21
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-2074
Mailing Address - Country:US
Mailing Address - Phone:218-553-2170
Mailing Address - Fax:
Practice Address - Street 1:195 CITYVIEW AVE APT 1
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7040
Practice Address - Country:US
Practice Address - Phone:907-235-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant