Delilah Koehler, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4633 Issued in WI

Practice address

719 Fredrick CT Apt 7
Green Bay, WI 54313-3416

Phone

(715) 851-3030

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deedee Koehler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1154985075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 FREDRICK CT APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543133416",
            "telephone_number": "715-851-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 FREDRICK CT APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543133416",
            "telephone_number": "715-851-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "DELILAH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEDEE",
            "last_name": "KOEHLER",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul David Koch, M.D.
• Leslie A Kocha, APSW
• Katie S Kocian, MAC, LPC
• Angela M Koebe, COTA
• Katie Koebernik, LPC-IT
• Michelle Lee Koehler, OTR
• Natasha M Koehler, N.P.
• Samantha Rose Koehn, SAC-IT
• Cindy Marie Koerner, CCC SLP
• Kristin Koerten, PAC

• Speech-Language Pathologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.