Individual
HEIDI JO HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
909 S 76TH ST, OMAHA, NE 68114-4519
(712) 304-0930
Mailing address
14804 CAMDEN CT, OMAHA, NE 68116-1469
(712) 304-0930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1539
NE
Other
Enumeration date
09/18/2015
Last updated
05/29/2020
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