Provider Demographics
NPI:1891835518
Name:JOHNSON, BROOK VOITIER (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:BROOK
Middle Name:VOITIER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 MEDICAL PKWY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1019
Mailing Address - Country:US
Mailing Address - Phone:512-380-4058
Mailing Address - Fax:512-380-4093
Practice Address - Street 1:3705 MEDICAL PKWY
Practice Address - Street 2:SUITE 380
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1019
Practice Address - Country:US
Practice Address - Phone:512-380-4058
Practice Address - Fax:512-380-4093
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51714237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter