Individual
MRS. DILANA LEE GOHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
306 WESLEY DR STE A, KERRVILLE, TX 78028-5822
(830) 257-1108
(830) 257-1137
Mailing address
PO BOX 294324, KERRVILLE, TX 78029-4324
(830) 257-1108
(830) 257-1137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16398
TDLR
TX
Enumeration date
02/27/2020
Last updated
02/27/2020
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