Carol Hagemann

Individual provider Active NPI Speech-Language Pathologist · Valley, NE

NPI 1194101154 · NPPES record last updated Jul 31, 2015

Key facts

NPI
1194101154
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
401 S Pine St
Valley, NE 68064-9794
Phone
(402) 359-2583
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County West Schools Speech-Language Pathologist Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

401 S Pine St
Valley, NE 68064-9794

Mailing address

PO Box 378
Valley, NE 68064-0378
Phone (402) 359-2583

Other providers in Valley, NE

All providers in Valley, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.