Individual
HEIDI MICHELLE BERTHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7000
Mailing address
14107 AMES AVE, OMAHA, NE 68164-5005
(402) 968-9331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
001950
IA
235Z00000X
Speech-Language Pathologist
Primary
1390
NE
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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