Lisa Lussetto
Individual provider Active NPI Speech-Language Pathologist · Bridgeport, NE
NPI 1003260126 · NPPES record last updated Apr 14, 2016
Key facts
- NPI
- 1003260126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1717 (NE)
- Practice address
- 800 Q St
Bridgeport, NE 69336-2519 - Phone
- (308) 262-1574
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrill Co Public School Dist 63 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1717 | NE | Yes |
Addresses
Primary practice location
800 Q St
Bridgeport, NE 69336-2519
Mailing address
PO Box 430
Bridgeport, NE 69336-0430
Phone (308) 262-1574
Other providers in Bridgeport, NE
- Stacy Kraupie
- Joleen Lapierre
- Cheryl A. Laux
- Melody J Leisy
- Charlotte S Lowery
- Amber E Malcolm
- Angela Cashmiere Marquez
- Carrie C Martinson
- Debra Jo Mason
- Carla Jo McGrath
All providers in Bridgeport, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.