Doctor Name: | MICHELE BETH BOHNE |
NPI Number: | 1992036370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146002192 |
Business Practice Address: | 4440 W 95th St Oak Lawn, IL - 604532600 |
Business Phone Number: | 7086845439 |
Business Fax Number: | |
Mailing Address: | 12223 S Richard Ave, PALOS HEIGHTS |
State: | IL |
Postal Code: | 604631354 |
Phone Number: | 7083613109 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2010 |
NPI Last Update Date: | 01/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146002192 |
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 |