Individual
JULIANNE L MONCEAUX-VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(218) 255-0524
Mailing address
3709 S BROADWAY UNIT 101, ALEXANDRIA, MN 56308-3497
(320) 808-1067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
144.0134586
VT
235Z00000X
Speech-Language Pathologist
Primary
518256
MN
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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