Doctor Name: | MISS KRISTEN LYNN WEISE |
NPI Number: | 1750644159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CFY-SLP |
License Number: | |
Business Practice Address: | 2320 N 6th St Beatrice, NE - 683101214 |
Business Phone Number: | 4022289292 |
Business Fax Number: | 4022289191 |
Mailing Address: | 4911 N 26th St, Suite 100 LINCOLN |
State: | NE |
Postal Code: | 685214739 |
Phone Number: | 4024773110 |
Fax Number: | 4024774990 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |