Doctor Name: | DR. JILL LESLIE CHAMPLEY |
NPI Number: | 1255340550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1150 |
Business Practice Address: | 4101 Woolworth Ave Omaha, NE - 681051850 |
Business Phone Number: | 4023468800 |
Business Fax Number: | |
Mailing Address: | 17504 Emiline St, OMAHA |
State: | NE |
Postal Code: | 681362026 |
Phone Number: | 4023468800 |
Fax Number: | 4029435539 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1150 |
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 |