Deanne Auerelie Favinger
Individual provider Active NPI Speech-Language Pathologist · Roseland, NE
NPI 1013468511 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1013468511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 232 (NE)
- Practice address
- 9405 S Lincoln Ave
Roseland, NE 68973-1842 - Phone
- (402) 756-6611
- Fax
- (402) 756-6613
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Silver Lake Public School | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 232 | NE | Yes |
Addresses
Primary practice location
9405 S Lincoln Ave
Roseland, NE 68973-1842
Mailing address
1117 E South St
Hastings, NE 68901-6443
Phone (402) 463-5611
Other providers in Roseland, NE
All providers in Roseland, 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 Oct 19, 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.