Provider Demographics
NPI:1780728055
Name:KOHR, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:KOHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:RATCLIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:6008 ARROW POINT RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2450
Mailing Address - Country:US
Mailing Address - Phone:505-833-1770
Mailing Address - Fax:505-839-5288
Practice Address - Street 1:6008 ARROW POINT RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2450
Practice Address - Country:US
Practice Address - Phone:505-833-1770
Practice Address - Fax:505-839-5288
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist