Doctor Name: | MR. JORDON PETER EUGENE MESSERSMITH |
NPI Number: | 1306203021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.ED. SLP |
License Number: | 503 |
Business Practice Address: | 1104 N Tyler St Lexington, NE - 688501744 |
Business Phone Number: | 4024699827 |
Business Fax Number: | |
Mailing Address: | 1104 N Tyler St, LEXINGTON |
State: | NE |
Postal Code: | 688501744 |
Phone Number: | 4024699827 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2016 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 503 |
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 |