Doctor Name: | JESSICA MARIE POHN |
NPI Number: | 1598050056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHS |
License Number: | 242001882 |
Business Practice Address: | 348 55th St Clarendon Hills, IL - 605143015 |
Business Phone Number: | 6306700901 |
Business Fax Number: | |
Mailing Address: | 550 W Surf St Apt 107, CHICAGO |
State: | IL |
Postal Code: | 606576054 |
Phone Number: | 6413731388 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 242001882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |