Provider Demographics
NPI:1740516616
Name:WOHLEEN, LINDSAY RUTH (MA, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:RUTH
Last Name:WOHLEEN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50225 UPTOWN AVE
Mailing Address - Street 2:APT 302
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-6663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50225 UPTOWN AVE
Practice Address - Street 2:APT 302
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-6663
Practice Address - Country:US
Practice Address - Phone:248-202-9739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist