Provider Demographics
NPI:1851332035
Name:UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Entity Type:Organization
Organization Name:UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Other - Org Name:UNL BARKLEY SPEECH LANGUAGE AND HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-472-5496
Mailing Address - Street 1:203A BARKLEY MEMORIAL CENTER
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0731
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:68583-0731
Practice Address - Country:US
Practice Address - Phone:402-472-2071
Practice Address - Fax:402-472-3814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-09
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025369300Medicaid
NE10025369400Medicaid
NEDF0433OtherRR MEDICARE
NE10025369300Medicaid