NPI 1063782050

Samuel a Gillespie, AUD

Practitioner Audiologist Omaha, NE

Practice location

Address: 17021 Lakeside Hills Plz STE 202, Omaha, NE 68130-2390
Phone: (402) 758-5327

Registered specialties (4)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 348 (NE)

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Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 1504 (KS)

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Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 170 (NE)

Registry record

NPI: 1063782050
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2012
Record last updated: 3 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.