Doctor Name: | SAMANTHA L GAINES-NELSON |
NPI Number: | 1437532140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 467 |
Business Practice Address: | 1540 S 70th St Suite 101 Lincoln, NE - 685061575 |
Business Phone Number: | 4024803152 |
Business Fax Number: | 4029047651 |
Mailing Address: | 1618 S 20th St, LINCOLN |
State: | NE |
Postal Code: | 685022609 |
Phone Number: | 4025801903 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 467 |
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 |