Doctor Name: | MRS. POLLY UBBEN |
NPI Number: | 1225469075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP-L |
License Number: | 715 |
Business Practice Address: | 555 S 70th St Lincoln, NE - 685102462 |
Business Phone Number: | 4022197498 |
Business Fax Number: | 4022197327 |
Mailing Address: | 555 S 70th St, LINCOLN |
State: | NE |
Postal Code: | 685102462 |
Phone Number: | 4022197498 |
Fax Number: | 4022197327 |
NPI Enumeration Date: | 12/04/2013 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 715 |
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 |