National Provider Identifier

Greta Renee Bohn, M.S., CCC/SLP

Greta Renee Bohn, M.S., CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Spencerport, NY and a listed phone number of (585) 749-5244.

NPI 1467736751Spencerport, NYSpeech-Language Pathologist

Profile Overview

NPI
1467736751
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 05, 2011
Last Updated
October 18, 2018

Practice Location

  • 71 Lyell Ave
  • Spencerport, NY 14559-1899

Phone: (585) 749-5244

Mailing Address

  • 10 Sweden Ln
  • Brockport, NY 14420-2516

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1467736751
Entity Type
Individual
Last Name
Bohn
First Name
Greta
Middle Name
Renee
Credential
M.S., CCC/SLP
Mailing Street Address
10 Sweden Ln
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2516
Mailing Country
US
Practice Street Address
71 Lyell Ave
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1899
Practice Country
US
Practice Phone
(585) 749-5244
Enumeration Date
October 05, 2011
Last Updated
October 18, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)