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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