Provider Demographics
NPI:1740426386
Name:KOHN, SONDRA ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:ANN
Last Name:KOHN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:SONDRA
Other - Middle Name:ANN
Other - Last Name:BONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:W238N1690 ROCKWOOD DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1151
Mailing Address - Country:US
Mailing Address - Phone:262-347-2222
Mailing Address - Fax:262-347-2251
Practice Address - Street 1:W238N1690 ROCKWOOD DR
Practice Address - Street 2:SUITE 500
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1151
Practice Address - Country:US
Practice Address - Phone:262-347-2222
Practice Address - Fax:262-347-2251
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist