Provider Demographics
NPI:1609278795
Name:ADAMS, AIMEE MARIE (MSED, SLP, CFY)
Entity Type:Individual
Prefix:MISS
First Name:AIMEE
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSED, SLP, CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N ESTHER ST
Mailing Address - Street 2:PO BOX 648
Mailing Address - City:FULLERTON
Mailing Address - State:NE
Mailing Address - Zip Code:68638-3029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 N ESTHER ST
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:NE
Practice Address - Zip Code:68638-3029
Practice Address - Country:US
Practice Address - Phone:308-536-2242
Practice Address - Fax:308-536-3226
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE438235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist