Individual
MS. PATRICIA JOAN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
425 N 30TH ST, OMAHA, NE 68131-2100
(402) 452-5000
(402) 452-5028
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
510
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251772-00
—
NE
05
—
100251782-00
—
NE
05
—
100251783-00
—
NE
05
—
100252727-00
—
NE
01
—
39809
BCBS ENT
NE
01
—
39813
BCBS BT
NE
Enumeration date
01/25/2007
Last updated
12/03/2010
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