Provider Demographics
NPI:1558950113
Name:OPBROEK, JOSLYNNE RENAE (SLP)
Entity Type:Individual
Prefix:
First Name:JOSLYNNE
Middle Name:RENAE
Last Name:OPBROEK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JOSLYNNE
Other - Middle Name:RENAE
Other - Last Name:ALMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:PO BOX 5285
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5285
Mailing Address - Country:US
Mailing Address - Phone:308-675-1853
Mailing Address - Fax:308-210-4121
Practice Address - Street 1:3601 CIMARRON PLZ STE 105
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-2883
Practice Address - Country:US
Practice Address - Phone:402-463-2077
Practice Address - Fax:402-463-2062
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist