Provider Demographics
NPI:1255507679
Name:OHLMANN, NANCY B (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:OHLMANN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LILY RUN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-7537
Mailing Address - Country:US
Mailing Address - Phone:502-558-1566
Mailing Address - Fax:
Practice Address - Street 1:8014 VINE CREST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4675
Practice Address - Country:US
Practice Address - Phone:502-558-1566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1047235Z00000X
IN22002037A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist