Individual
JESSA-MARIE L BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
10686 CRESTWOOD DR, B, MANASSAS, VA 20109-4407
(703) 392-6166
Mailing address
7351 LAVA ROCK CIR, APT 303, MANASSAS, VA 20111-1796
(610) 573-4955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007855
VA
Other
Enumeration date
04/24/2012
Last updated
09/14/2015
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