Shannon Klimas Bernitt

Individual provider Active NPI Speech-Language Pathologist · Grand Island, NE

NPI 1992085385 · NPPES record last updated Jul 15, 2020

Key facts

NPI
1992085385
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1473 (NE)
Practice address
1724 W Charles St
Grand Island, NE 68803-5901
Phone
(607) 765-2450
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1473 NE Yes

Addresses

Primary practice location

1724 W Charles St
Grand Island, NE 68803-5901

Mailing address

1724 W Charles St
Grand Island, NE 68803-5901
Phone (607) 765-2450

Other providers in Grand Island, NE

All providers in Grand Island, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.