Individual
CHERYL BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N LAKE DR, LAKEWOOD, NJ 08701-2570
(718) 986-2341
Mailing address
615 NORTH LAKE DRIVE, LAKEWOOD, NJ 08701
(718) 986-2341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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