Provider Demographics
NPI:1649846064
Name:MOHLER, JOHNNA LEIGH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JOHNNA
Middle Name:LEIGH
Last Name:MOHLER
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 1:2350 HILLSDALE TOLLGATE RD
Mailing Address - Street 2:
Mailing Address - City:SINKS GROVE
Mailing Address - State:WV
Mailing Address - Zip Code:24976-8007
Mailing Address - Country:US
Mailing Address - Phone:304-646-7745
Mailing Address - Fax:
Practice Address - Street 1:2350 HILLSDALE TOLLGATE RD
Practice Address - Street 2:
Practice Address - City:SINKS GROVE
Practice Address - State:WV
Practice Address - Zip Code:24976-8007
Practice Address - Country:US
Practice Address - Phone:304-646-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist