Individual
JOELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15228 SHIRLEY ST, OMAHA, NE 68144-1970
(402) 715-1386
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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