Provider Demographics
NPI:1144512963
Name:HOEHNE, GLENN C (CCC-SLP)
Entity type:Individual
Prefix:
First Name:GLENN
Middle Name:C
Last Name:HOEHNE
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 BLACKTHORN DR
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-1004
Mailing Address - Country:US
Mailing Address - Phone:419-523-3315
Mailing Address - Fax:
Practice Address - Street 1:8580 TOWNSHIP ROAD 237
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8507
Practice Address - Country:US
Practice Address - Phone:567-525-4460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5613235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist