Individual
PAMELA KAY BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS/CCC-SLP
Contact information
Practice address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
(402) 287-2065
Mailing address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
(402) 287-2065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011005821
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09127998
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION/CERTIFICATION
—
01
—
235Z00000X
NEBRASKA DEPARTMENT OF EDUCATION/TEACHER CERTIFICATION
NE
Enumeration date
08/14/2015
Last updated
08/14/2015
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