Individual
DR. CARLA JEAN DELASSUS GRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC.D, CCC-SLP
Contact information
Practice address
8303 DODGE ST, SUITE 304, OMAHA, NE 68114-4108
(402) 354-5048
(402) 354-2585
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 216-1638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1802
NE
235Z00000X
Speech-Language Pathologist
2202004204
VA
235Z00000X
Speech-Language Pathologist
9054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026075400
—
NE
Enumeration date
06/25/2006
Last updated
03/23/2017
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