Provider Demographics
NPI:1629735113
Name:KOHR, GABRIELLE LYNNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLE
Middle Name:LYNNE
Last Name:KOHR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:GABRIELLE
Other - Middle Name:LYNNE
Other - Last Name:KOHR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:210 SHADY HOLW
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-4338
Mailing Address - Country:US
Mailing Address - Phone:724-989-3432
Mailing Address - Fax:
Practice Address - Street 1:1000 COLOR PL STE 101
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-7717
Practice Address - Country:US
Practice Address - Phone:888-754-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20850235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist