Provider Demographics
NPI:1942326814
Name:STOEHR, AMY BLAHA (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BLAHA
Last Name:STOEHR
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:BLAHA
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:2601 FOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-1577
Mailing Address - Country:US
Mailing Address - Phone:540-982-2860
Mailing Address - Fax:
Practice Address - Street 1:4550 SHENANDOAH AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-4749
Practice Address - Country:US
Practice Address - Phone:540-982-2860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002704235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist