| Doctor Name: | ANN M. KOEHLER |
| NPI Number: | 1154604346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 5426-1 |
| Business Practice Address: | 1070 Old Ocean Highway Universal Healthcare Brunswick Bolivia, NC - 28422 |
| Business Phone Number: | 9107555955 |
| Business Fax Number: | |
| Mailing Address: | 2736 Chadsworth Lane, SOUTHPOINT |
| State: | NC |
| Postal Code: | 28461 |
| Phone Number: | 3158061168 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5426-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |