Provider Demographics
NPI:1508385212
Name:DOSS SCHLIESMAN, PATRICIA M (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:DOSS SCHLIESMAN
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 APPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2517
Mailing Address - Country:US
Mailing Address - Phone:515-450-3180
Mailing Address - Fax:
Practice Address - Street 1:2820 ARBORETUM DR,
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133
Practice Address - Country:US
Practice Address - Phone:402-293-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2014235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist