Provider Demographics
NPI:1013155605
Name:GEHM, JOHN R (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:GEHM
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 SPRING VALLEY RD
Mailing Address - Street 2:#40
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3956
Mailing Address - Country:US
Mailing Address - Phone:972-247-1377
Mailing Address - Fax:972-484-8851
Practice Address - Street 1:4801 SPRING VALLEY RD
Practice Address - Street 2:#40
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-3956
Practice Address - Country:US
Practice Address - Phone:972-247-1377
Practice Address - Fax:972-484-8851
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50339231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist