Pauline Bohannon

NPI 1023434792 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023434792
Gender Female
Enumeration Date 03/05/2014
Last Updated 03/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1300 MICCOSUKEE RD
TALLAHASSEE FL, 32308-5054, US
Phone (850) 431-7112
Fax (850) 431-6231
Business Location
1300 MICCOSUKEE RD
TALLAHASSEE FL, 32308-5054, US
Phone (850) 431-7112
Fax (850) 431-6231
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA 8794
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According to our database, Ms. Pauline Bohannon NPI is 1023434792, taxonomy code is 235Z00000X and license number is SA 8794, license state is located at Florida. Pauline Bohannon physically located at 1300 Miccosukee Rd, Tallahassee FL, 32308-5054. NPI Number Pauline Bohannon has the Individual type.

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1023434792 NPI number is provided on an as is basis without warranty of any kind. 1023434792 is maintained by the National Plan & Provider Enumeration System. The contents of Pauline Bohannon are for informational purposes only.