Doctor Name: | MS. DEANNA LYNN TWAIT |
NPI Number: | 1053670836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | 704 |
Business Practice Address: | 6960 S 110th St La Vista, NE - 681285720 |
Business Phone Number: | 4025974990 |
Business Fax Number: | |
Mailing Address: | 19012 C St, OMAHA |
State: | NE |
Postal Code: | 681306059 |
Phone Number: | 4029919231 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2012 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 704 |
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 |