Individual
MRS. TONYA C KOHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
10915 W 133RD AVE, CEDAR LAKE, IN 46303-9706
(219) 390-7498
(219) 390-7549
Mailing address
3138 MARYANN LN, DYER, IN 46311-4601
(219) 865-9655
(219) 865-3975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003895A
IN
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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