Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexa Johanson

Individual provider Speech-Language Pathologist · NPI 1073490322

Alexa Johanson is a Speech-Language Pathologist in Bloomingdale, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

335 Old Rail Rd
Bloomingdale, GA 31302-4025
Phone: (912) 421-0140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 E Us Highway 80, Bloomingdale, GA 31302-9226 — (912) 421-0140

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence PCET004380 (GA)

Record details

NPI number1073490322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateJuly 22, 2025
Mailing address119 Ruby Trl, Guyton, GA 31312-7001

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