Doctor Name: | KOREY STADING |
NPI Number: | 1215015664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 844 |
Business Practice Address: | 444 S 44th St Omaha, NE - 681313727 |
Business Phone Number: | 4025596460 |
Business Fax Number: | 4025595737 |
Mailing Address: | 985450 Nebraska Med Ctr, OMAHA |
State: | NE |
Postal Code: | 681985450 |
Phone Number: | 4025598943 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 844 |
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 |