Provider Demographics
NPI:1093530446
Name:SUMMERS, ABBIE MARIAH (BS, SLPA)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:MARIAH
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:BS, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55607 847TH RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-1018
Mailing Address - Country:US
Mailing Address - Phone:402-860-5092
Mailing Address - Fax:
Practice Address - Street 1:2500 W NORFOLK AVENUE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-1018
Practice Address - Country:US
Practice Address - Phone:402-860-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1012355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant