JOHANNA LINNEA BOZEMAN M.ED., CCC-SLP
NPI 1154052041
Speech-Language Pathologist in Villa Rica, GA

Active since June 21, 2022
112 THREE WEST PKWY, VILLA RICA, GA 30180(770) 459-6533(770) 462-1260 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Johanna Linnea Bozeman M.ed., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA LINNEA BOZEMAN M.ED., CCC-SLP (NPI 1154052041) is an individual speech-language pathologist provider in Villa Rica, Georgia, licensed in Georgia (SLP012557) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1154052041
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJOHANNA LINNEA BOZEMANCredential: M.ED., CCC-SLP
Location Address112 THREE WEST PKWYVilla Rica, GA 30180-4778
Mailing Address112 Three West PkwyVilla Rica, GA 30180-4778 · (770) 459-6533 · Fax (770) 462-1260
Fax(770) 462-1260
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1154052041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP012557
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

112 THREE WEST PKWY, Villa Rica, GA 30180

Other Names 1

Former Name (1)Johanna Wagner M.ed., Ccc-slp

Other Identifiers 1

Medicaid003285781AGA

Accepted Insurance

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapy Assistant
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Occupational Therapist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180
Speech-Language Pathologist
112 THREE WEST PKWY
VILLA RICA, GA 30180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154052041, enumerated as an "individual" on June 21, 2022.

The provider is located at 112 THREE WEST PKWY VILLA RICA, GA 30180 and the phone number is (770) 459-6533.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.