Healthcare Provider Details

I. General information

NPI: 1952820664
Provider Name (Legal Business Name): KENDALL SOHEIR LOHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 VALLEY ST
PRESCOTT AZ
86305-1826
US

IV. Provider business mailing address

7653 E DUSTY BOOT RD
PRESCOTT VALLEY AZ
86315-9026
US

V. Phone/Fax

Practice location:
  • Phone: 928-445-1309
  • Fax:
Mailing address:
  • Phone: 938-533-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP10774
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: