Provider Demographics
NPI:1437571163
Name:DUBIS-BOHN, ANGELA SUE (MA, CCC/SLP, BCS-S)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SUE
Last Name:DUBIS-BOHN
Suffix:
Gender:F
Credentials:MA, CCC/SLP, BCS-S
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 W 10TH AVE
Mailing Address - Street 2:ROOM 131
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1280
Mailing Address - Country:US
Mailing Address - Phone:614-293-7585
Mailing Address - Fax:614-366-0180
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:ROOM 131
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-293-7585
Practice Address - Fax:614-366-0180
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-5116235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist