Individual
GINA LEE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, CCC-SLP
Contact information
Practice address
3901 W NORFOLK AVE STE P, NORFOLK, NE 68701-4405
(402) 371-9026
(402) 371-0807
Mailing address
3901 W NORFOLK AVE STE P, NORFOLK, NE 68701-4405
(402) 371-9026
(402) 371-0807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2846
NE
Other
Enumeration date
04/26/2024
Last updated
04/29/2024
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