Mikaela Hansen
Individual provider Active NPI Speech-Language Pathologist · Broken Bow, NE
NPI 1902531155 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1902531155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 912 (NE)
- Practice address
- 1135 N H St
Broken Bow, NE 68822-1262 - Phone
- (308) 872-2982
- NPI assigned
- Jul 21, 2022
- 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 |
|---|---|---|---|
| Broken Bow Public Schools County of Custer School District 25 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 912 | NE | Yes |
Addresses
Primary practice location
1135 N H St
Broken Bow, NE 68822-1262
Mailing address
1135 N H St
Broken Bow, NE 68822-1262
Phone (308) 872-2982
Other providers in Broken Bow, NE
- Jessica Gibbons
- Madison J Glidden
- Michaela Goos
- Chad Erin Hackel
- Jenscena Hansen
- Sheila L Harouff
- Valerie Harris
- Hartwell Counseling, LLC
- Joshua Zell Harvey
- Linda Sue Haumont
All providers in Broken Bow, 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 Jul 21, 2022. 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.