Provider Demographics
NPI:1982077046
Name:SPRINGER, JOHNNA BRYANT (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOHNNA
Middle Name:BRYANT
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 IDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-1920
Mailing Address - Country:US
Mailing Address - Phone:205-389-0671
Mailing Address - Fax:
Practice Address - Street 1:1991 IDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-1920
Practice Address - Country:US
Practice Address - Phone:205-389-0671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist