Provider Demographics
NPI:1245499813
Name:MURILLO, FLORA PALOMO (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:PALOMO
Last Name:MURILLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 D ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-3984
Mailing Address - Country:US
Mailing Address - Phone:308-672-6483
Mailing Address - Fax:
Practice Address - Street 1:1825 D ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-3984
Practice Address - Country:US
Practice Address - Phone:308-672-6483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-08
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist