Provider Demographics
NPI:1659591188
Name:CORNELL OHLMAN, JOANNE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:H
Last Name:CORNELL OHLMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:J
Other - Last Name:CORNELL OHLMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD PA
Mailing Address - Street 1:3021 SW 27 AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4405
Mailing Address - Country:US
Mailing Address - Phone:352-237-3440
Mailing Address - Fax:352-237-4381
Practice Address - Street 1:3021 SW 27 AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4405
Practice Address - Country:US
Practice Address - Phone:352-237-3440
Practice Address - Fax:352-237-4381
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist