Doctor Name: | RAYLEN HERKAMP |
NPI Number: | 1104262666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC SLP |
License Number: | 1555 |
Business Practice Address: | 10791 S 72nd St Papillion, NE - 680463402 |
Business Phone Number: | 4029322782 |
Business Fax Number: | 4029322705 |
Mailing Address: | 10791 S 72nd St, PAPILLION |
State: | NE |
Postal Code: | 680463402 |
Phone Number: | 4029322782 |
Fax Number: | 4029322705 |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1555 |
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 |