Doctor Name: | KRISTINA BOHN |
NPI Number: | 1023076668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 2067 |
Business Practice Address: | 101 N 2nd St Raton, NM - 877403803 |
Business Phone Number: | 5054457090 |
Business Fax Number: | |
Mailing Address: | 211 Corundum Rd, TRINIDAD |
State: | CO |
Postal Code: | 810829413 |
Phone Number: | 7198461207 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |