| Laboratory Of Speech And Language Disorders, Inc. | |
|
4239 Farnam St, Suite 509, Omaha, NE 68131-2868 | |
| (402) 551-7338 | |
| (402) 551-3072 |
| Full Name | Laboratory Of Speech And Language Disorders, Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4239 Farnam St, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124199419 | NPI | - | NPPES |
| 08782 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 510 (Nebraska) | Primary |
| Provider Name | Patricia J Gill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821144874 PECOS PAC ID: 5799824801 Enrollment ID: I20091203000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Laboratory Of Speech And Language Disorders, Inc. 4239 Farnam St, Suite 509, Omaha, NE 68131-2868 Ph: (402) 551-7338 | Laboratory Of Speech And Language Disorders, Inc. 4239 Farnam St, Suite 509, Omaha, NE 68131-2868 Ph: (402) 551-7338 |
Ms. Lesley Denise Larive, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5116 N 176th St, Omaha, NE 68116 Phone: 402-415-1682 | |
William K Phillips, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2211 S 64th Plz Apt 434, Omaha, NE 68106 Phone: 206-660-7086 | |
Miss Kaitlyn Lee Cross, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11808 Grant St Fl 100, Omaha, NE 68164 Phone: 405-334-1375 | |
Amy Noel Richardson, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8011 Chicago St, Omaha, NE 68114 Phone: 402-659-4991 Fax: 402-933-6345 | |
Sarah Mytty, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8031 W Center Rd Ste 300, Omaha, NE 68124 Phone: 402-391-5002 | |
Randi Elizabeth Grace Westberry, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 555 N 30th St, Omaha, NE 68131 Phone: 531-355-5033 Fax: 531-355-5028 | |
Katiana Fischer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5606 S 147th St, Omaha, NE 68137 Phone: 402-715-8200 |