BRIELLE L SUPONCHICK

PAPILLION, NE
NPI1649727504
Former NameBRIELLE L STANEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NE  1983)
Enumeration Date2016-09-07
Last Update Date2018-12-07
Business Address
BRIELLE L SUPONCHICK M.S. CF-SLP
10601 S 72ND ST STE 103
PAPILLION, NE 68046
Phone number: 402-932-2782
Mailing Address
BRIELLE L SUPONCHICK M.S. CF-SLP
10601 S 72ND ST STE 103
PAPILLION, NE 68046-3408
Phone number: 402-932-2782