Individual
MS. JEAN ANNE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N 157TH ST, OMAHA, NE 68116-2070
(402) 572-8966
Mailing address
3223 N 157TH ST, OMAHA, NE 68116-2070
(402) 572-8966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1084
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00639393
ASHA CERTIFICATION
NE
Enumeration date
12/03/2012
Last updated
12/03/2012
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