Individual
MRS. LISA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
41750 CARTHAGE RD, RAVENNA, NE 68869-4051
(308) 452-3202
Mailing address
PO BOX 850, KEARNEY, NE 68848-0850
(308) 237-5927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012008523
NE
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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