| NPI | 1760851505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CAROL WOLF Speech Language Pathologist 402-557-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |