| NPI | 1790555720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WIESER Owner, Speech Language Pathologist 402-363-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |