Individual
JESSICA L WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4135 S 147TH PLZ APT 101, OMAHA, NE 68137-5521
(402) 452-9847
Mailing address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 558-0225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1515
NE
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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