Provider Demographics
NPI:1013416791
Name:POHLMANN, RACHEL LEIGH
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:POHLMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10583 W CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:NE
Mailing Address - Zip Code:68341-4138
Mailing Address - Country:US
Mailing Address - Phone:402-520-0299
Mailing Address - Fax:
Practice Address - Street 1:4215 AVENUE I
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4902
Practice Address - Country:US
Practice Address - Phone:308-635-3696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE618235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist