Doctor Name: | MRS. LESLEY DENISE STADLER |
NPI Number: | 1003187139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 1017 |
Business Practice Address: | 13336 Industrial Frontage Road Omaha, NE - 68137 |
Business Phone Number: | 4023303211 |
Business Fax Number: | |
Mailing Address: | 2112 S 165th St, OMAHA |
State: | NE |
Postal Code: | 681301631 |
Phone Number: | 4024151682 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2012 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |