| Doctor Name: | AMY NOEL RICHARDSON |
| NPI Number: | 1013271766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC/SLP |
| License Number: | 772 |
| Business Practice Address: | 8011 Chicago St Omaha, NE - 681143533 |
| Business Phone Number: | 4026594991 |
| Business Fax Number: | 4029336345 |
| Mailing Address: | 9932 S 100th St, LA VISTA |
| State: | NE |
| Postal Code: | 681283070 |
| Phone Number: | 4026594991 |
| Fax Number: | 4029336345 |
| NPI Enumeration Date: | 06/27/2012 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 772 |
| 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 |