Ashley Tapper

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

NPI 1487030995 · NPPES record last updated Aug 6, 2015

Key facts

NPI
1487030995
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2011009144 (NE)
Practice address
211 10TH St
Wakefield, NE 68784-5014
Phone
(712) 229-0682
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2011009144NEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2011009144 NE Yes

Addresses

Primary practice location

211 10TH St
Wakefield, NE 68784-5014

Mailing address

414 S 15TH St
PO Box 134
Dakota City, NE 68731-5005
Phone (712) 229-0682

Other providers in Wakefield, NE

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

Sources for this page

Verify at the official NPI Registry.