Individual
TAYLOR BOOSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16855 PATTERSON DR, OMAHA, NE 68135-2603
(402) 210-3111
Mailing address
16855 PATTERSON DR, OMAHA, NE 68135-2603
(402) 210-3111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1903
NE
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
12/14/2022
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