Provider Demographics
NPI:1881437473
Name:PFOHL, JOHANNA L (MPH, CHES)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:L
Last Name:PFOHL
Suffix:
Gender:F
Credentials:MPH, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 DENNIS AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4824
Mailing Address - Country:US
Mailing Address - Phone:202-276-4632
Mailing Address - Fax:
Practice Address - Street 1:2804 DENNIS AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4824
Practice Address - Country:US
Practice Address - Phone:202-276-4632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty