Provider Demographics
NPI:1073992418
Name:DINNEEN, BETH
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:DINNEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 BARKLEY MEMORIAL CENTER
Mailing Address - Street 2:P.O. 830738
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0738
Mailing Address - Country:US
Mailing Address - Phone:402-742-2071
Mailing Address - Fax:402-472-3814
Practice Address - Street 1:253 BARKLEY MEMORIAL CENTER
Practice Address - Street 2:P.O. 830731
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0738
Practice Address - Country:US
Practice Address - Phone:402-742-2071
Practice Address - Fax:402-472-3814
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1489235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist