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Contact Information

JESSA MARIE L BOEHM, M.S.
10686 CRESTWOOD DR
B
MANASSAS, VA20109-4407
 Phone: 703-392-6166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JESSA MARIE L BOEHM · (Female)

NPI # 1760740005
Status Active
Credentials M.S.
Entity Individual
Enumeration date 04/24/2012
Last updated 09/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2202007855
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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