Individual
MARIA HIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2222 N LINCOLN AVE, YORK, NE 68467-1030
(402) 362-6671
Mailing address
71913 607 AVE, VIRGINIA, NE 68458-5008
(402) 480-9244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
373
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47037903911
MEDICAID PROVIDER
NE
Enumeration date
08/14/2013
Last updated
05/11/2018
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