Provider Demographics
NPI:1073061677
Name:KLIPFEL, BRANDY (MS)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:
Last Name:KLIPFEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 ROBERTSON DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-1520
Mailing Address - Country:US
Mailing Address - Phone:402-408-8890
Mailing Address - Fax:
Practice Address - Street 1:1312 ROBERTSON DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-1520
Practice Address - Country:US
Practice Address - Phone:402-408-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2016000002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist