Provider Demographics
NPI:1689384307
Name:WOHLWEND, KERMA S (MA,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KERMA
Middle Name:S
Last Name:WOHLWEND
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 1:5074 DOVEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-9348
Mailing Address - Country:US
Mailing Address - Phone:865-748-3491
Mailing Address - Fax:
Practice Address - Street 1:5074 DOVEWOOD WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-9348
Practice Address - Country:US
Practice Address - Phone:865-748-3491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003546235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist