Provider Demographics
NPI:1346526456
Name:PELSTER, ABBY GAIL (SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:GAIL
Last Name:PELSTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:GAIL
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:203A BARKLEY MEMORIAL CENTER
Mailing Address - Street 2:UNIVERSITY OF NEBRASKA BARKLEY SPEECH LANGUAGE AND HEAR
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0738
Mailing Address - Country:US
Mailing Address - Phone:402-472-2071
Mailing Address - Fax:402-472-3814
Practice Address - Street 1:203A BARKLEY MEMORIAL CENTER
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0738
Practice Address - Country:US
Practice Address - Phone:402-472-2071
Practice Address - Fax:402-472-3814
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist