Provider Demographics
NPI:1881048684
Name:WEHRMAN, PATRICIA S
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:WEHRMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7392 BURLINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1551
Mailing Address - Country:US
Mailing Address - Phone:859-283-1771
Mailing Address - Fax:859-283-0210
Practice Address - Street 1:1106 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1706
Practice Address - Country:US
Practice Address - Phone:513-248-1944
Practice Address - Fax:513-248-4458
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYHISHSP00218714237700000X
OH2673237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2673OtherHIS LICENSE
KYHISHSP00218714OtherHIS LISCENSE