Individual
MS. MARY A GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6509
(402) 498-6357
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6509
(402) 498-6357
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
27
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585075
—
IA
05
—
0585083
—
IA
05
—
1585075
—
IA
05
—
1585083
—
IA
05
—
2585075
—
IA
05
—
2585083
—
IA
05
—
3585075
—
IA
05
—
3585083
—
IA
01
—
36841
BCBS BT
NE
01
—
36842
BCBS ENT
NE
05
—
4585075
—
IA
05
—
5585075
—
IA
05
—
6585075
—
IA
05
—
7585075
—
IA
05
—
8585075
—
IA
05
—
9585075
—
IA
Enumeration date
01/03/2007
Last updated
11/17/2010
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