Provider Demographics
NPI:1891906202
Name:MEHRHOFF, JONI K (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:K
Last Name:MEHRHOFF
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 1:1104 7TH AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56563
Mailing Address - Country:US
Mailing Address - Phone:218-477-2417
Mailing Address - Fax:
Practice Address - Street 1:1104 7TH AVE SOUTH
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56563
Practice Address - Country:US
Practice Address - Phone:218-477-2417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1109235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist