Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Bohm

Individual provider Speech-Language Pathologist · NPI 1801687074

Jessica Bohm is a Qualified Speech Language Pathologist in Fort Gratiot, Michigan. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

4455 24th Ave Ste 150
Fort Gratiot, MI 48059-4516
Phone: (248) 232-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1801687074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address3453 Saint Clair Shores Blvd, East China, MI 48054-1578

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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