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

Individual provider Speech-Language Pathologist · NPI 1548339401

Connie M. Johansen, MSCCCSLP is a Speech-Language Pathologist in Fort Oglethorpe, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

2403 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4033
Phone: (706) 866-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP001627 (GA)

Record details

NPI number1548339401
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1119 Gnome Trl, Lookout Mtn, GA 30750-2811

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