Provider Demographics
NPI:1760806236
Name:SOHN, ANAT (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANAT
Middle Name:
Last Name:SOHN
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 1:1145 TURKEY POINT RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-4109
Mailing Address - Country:US
Mailing Address - Phone:914-643-5234
Mailing Address - Fax:240-306-1569
Practice Address - Street 1:800 S FREDERICK AVE STE 101
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4151
Practice Address - Country:US
Practice Address - Phone:240-200-5305
Practice Address - Fax:240-306-1569
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05839235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist