| Gina Lee Blackman, MSE, CCC-SLP | |
|
3901 W Norfolk Ave Ste P, Norfolk, NE 68701-4405 | |
| (402) 371-9026 | |
| (402) 371-0807 |
| Full Name | Gina Lee Blackman |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3901 W Norfolk Ave Ste P, Norfolk, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174379408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2846 (Nebraska) | Primary |
| Provider Name | Family Physical Therapy & Sports Center |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356373658 PECOS PAC ID: 7214970177 Enrollment ID: O20050602000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Lee Blackman, MSE, CCC-SLP 3901 W Norfolk Ave Ste P, Norfolk, NE 68701-4405 Ph: (402) 371-9026 | Gina Lee Blackman, MSE, CCC-SLP 3901 W Norfolk Ave Ste P, Norfolk, NE 68701-4405 Ph: (402) 371-9026 |
Kaylie Margaret Beach, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 N 27th St, Norfolk, NE 68701 Phone: 402-644-7396 | |
Mr. Tyler Joshua Fletcher, M.A., CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1309 Amberwood Dr, Apartment 10, Norfolk, NE 68701 Phone: 402-340-6409 | |
Mrs. April Dawn Laskowski, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Koenigstein Ave, Norfolk, NE 68701 Phone: 402-644-7396 Fax: 402-644-7394 | |
Luann Watson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 406 N Cottonwood St, Norfolk, NE 68701 Phone: 402-644-2546 | |
Julie Mueller, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd St, Norfolk, NE 68701 Phone: 402-644-2550 | |
Karen Fundus, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 308 S 12th St, Norfolk, NE 68701 Phone: 402-750-7727 |