Provider Demographics
NPI:1760617260
Name:DOHRMANN, VICKI SUE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:SUE
Last Name:DOHRMANN
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 1:500 GOSS RD
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-9416
Mailing Address - Country:US
Mailing Address - Phone:360-379-6994
Mailing Address - Fax:360-379-5271
Practice Address - Street 1:500 GOSS RD
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-9416
Practice Address - Country:US
Practice Address - Phone:360-379-6994
Practice Address - Fax:360-379-5271
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003586235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist