Individual
ADRIENNE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
Mailing address
1731 COUNTY ROAD 19, LYONS, NE 68038-5035
(402) 518-0727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951812
NEBRASKA DEPARTMENT OF EDUCATION
NE
Enumeration date
12/15/2015
Last updated
12/15/2015
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