Provider Demographics
NPI:1093866246
Name:SVINGEN, JULIANNE P (MA)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:P
Last Name:SVINGEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16566 VALLEY CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2054
Mailing Address - Country:US
Mailing Address - Phone:402-334-1621
Mailing Address - Fax:
Practice Address - Street 1:16566 VALLEY CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2054
Practice Address - Country:US
Practice Address - Phone:402-452-5000
Practice Address - Fax:402-452-5028
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100251783-00Medicaid
NE100251772-00Medicaid
NE100251782-00Medicaid
NE39803OtherBCBS BT
NE100252727-00Medicaid
NE39802OtherBCBS ENT