Provider Demographics
NPI:1356867535
Name:RETKA, CLAIRE MARIE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MARIE
Last Name:RETKA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 S CODDINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1849
Mailing Address - Country:US
Mailing Address - Phone:402-436-1170
Mailing Address - Fax:
Practice Address - Street 1:2323 S CODDINGTON AVE.
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522
Practice Address - Country:US
Practice Address - Phone:402-436-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist