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NPI Code Detail

MEDICARE: STEPHANIE BOHN

MEDICARE: STEPHANIE BOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist4770-154WI

General Provider Information

NPI Number : 1700359106
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BOHN
Provider Business Mailing Address
First Line : 1673 DOUSMAN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-3209
Country : US
Telephone Number : 920-498-2599
Fax Number :
Provider Business Practice Location Address
First Line : 1673 DOUSMAN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-3209
Country : US
Telephone Number : 920-498-2599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 12/01/2025

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Directions to “ STEPHANIE BOHN ” Practice Location

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