Doctor Name: | MRS. JAIME L BUKREY |
NPI Number: | 1265746762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC, SLP |
License Number: | 1401 |
Business Practice Address: | 5401 South St Lincoln, NE - 685062150 |
Business Phone Number: | 4024839534 |
Business Fax Number: | 4024869098 |
Mailing Address: | 5401 South St, LINCOLN |
State: | NE |
Postal Code: | 685062150 |
Phone Number: | 4024839534 |
Fax Number: | 4024869098 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1401 |
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 |