| NPI | 1164057527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DORENE HAGGADONE Speech Language Pathologist 402-366-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-16 |