Individual
SARA BOHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3412 11TH ST S, ARLINGTON, VA 22204-2494
(631) 835-7401
Mailing address
14 ROBERTA LN, COMMACK, NY 11725-3816
(631) 835-7401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
033066
NY
235Z00000X
Speech-Language Pathologist
Primary
2202010853
VA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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