Doctor Name: | CARLY HOHENBOKEN |
NPI Number: | 1497103857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146012936 |
Business Practice Address: | 10414 317th St N Hillsdale, IL - 612579703 |
Business Phone Number: | 8882652680 |
Business Fax Number: | |
Mailing Address: | 10414 317th St N, HILLSDALE |
State: | IL |
Postal Code: | 612579703 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146012936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |