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Organization
LABORATORY OF SPEECH AND LANGUAGE DISORDERS, INC.
Active
Organization
LABORATORY OF SPEECH AND LANGUAGE DISORDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA J. GILL M.S., CCC (SPEECH PATHOLOGIST , OWNER)
(402) 551-7338
Entity
Organization
Contact information
Practice address
4239 FARNAM ST, SUITE 509, OMAHA, NE 68131-2868
(402) 551-7338
(402) 551-3072
Mailing address
4239 FARNAM ST, SUITE 509, OMAHA, NE 68131-2868
(402) 551-7338
(402) 551-3072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
510
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08782
BCBS
NE
Enumeration date
11/10/2006
Last updated
08/22/2020
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