Provider Demographics
NPI:1336511815
Name:DUNNING, GEORGANN
Entity Type:Individual
Prefix:
First Name:GEORGANN
Middle Name:
Last Name:DUNNING
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 1:400 PEBBLE ST
Mailing Address - Street 2:PO BOX L
Mailing Address - City:SCRIBNER
Mailing Address - State:NE
Mailing Address - Zip Code:68057-3006
Mailing Address - Country:US
Mailing Address - Phone:402-664-2568
Mailing Address - Fax:402-664-2708
Practice Address - Street 1:400 PEBBLE ST
Practice Address - Street 2:PO BOX L
Practice Address - City:SCRIBNER
Practice Address - State:NE
Practice Address - Zip Code:68057-3006
Practice Address - Country:US
Practice Address - Phone:402-664-2568
Practice Address - Fax:402-664-2708
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE116235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist