Individual
MRS. AMANDA LEEANN VALASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 N 148TH ST, OMAHA, NE 68116-1453
(402) 614-9121
Mailing address
4709 N 148TH STREET, OMAHA, NE 68116-1453
(402) 614-9121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01519
IA
235Z00000X
Speech-Language Pathologist
Primary
1013
NE
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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