Provider Demographics
NPI:1770239337
Name:BOHL, DARAH KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DARAH
Middle Name:KAY
Last Name:BOHL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23091 C RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66951-6748
Mailing Address - Country:US
Mailing Address - Phone:785-533-1196
Mailing Address - Fax:
Practice Address - Street 1:23091 C RD
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:KS
Practice Address - Zip Code:66951-6748
Practice Address - Country:US
Practice Address - Phone:785-533-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2608235Z00000X
KS5068235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist