Provider Demographics
NPI:1891912929
Name:POHLMAN, MELAINE TERESE (MT-BC, DT)
Entity Type:Individual
Prefix:MRS
First Name:MELAINE
Middle Name:TERESE
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:MT-BC, DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 GREENWOOD ST # 1
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4053
Mailing Address - Country:US
Mailing Address - Phone:847-733-2942
Mailing Address - Fax:847-733-2942
Practice Address - Street 1:1420 GREENWOOD ST # 1
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4053
Practice Address - Country:US
Practice Address - Phone:847-733-2942
Practice Address - Fax:847-733-2942
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Not Answered225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist