Provider Demographics
NPI:1477656080
Name:SOHNEN, MICHELENE (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:MICHELENE
Middle Name:
Last Name:SOHNEN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 STONEGATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144
Mailing Address - Country:US
Mailing Address - Phone:518-209-3726
Mailing Address - Fax:
Practice Address - Street 1:334 KRUMKILL ROAD
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159
Practice Address - Country:US
Practice Address - Phone:518-459-0750
Practice Address - Fax:518-459-9148
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003739235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist