Individual
MRS. MARYANNE VIGSTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12565 W CENTER RD, SUITE 100, OMAHA, NE 68144-3802
(402) 342-5566
(402) 342-0034
Mailing address
12565 W CENTER RD, SUITE 100, OMAHA, NE 68144-3802
(402) 342-5566
(402) 342-0034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1064
NE
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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