Provider Demographics
NPI:1184686123
Name:MOREHOUSE, TONI B (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:B
Last Name:MOREHOUSE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S 70TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1576
Mailing Address - Country:US
Mailing Address - Phone:402-480-3152
Mailing Address - Fax:402-904-7651
Practice Address - Street 1:1550 S 70TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1576
Practice Address - Country:US
Practice Address - Phone:402-480-3152
Practice Address - Fax:402-904-7651
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE02119Medicare UPIN