Provider Demographics
NPI:1336426618
Name:HASKETT, NICOLE P (MSED CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:P
Last Name:HASKETT
Suffix:
Gender:F
Credentials:MSED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S 60TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3521
Mailing Address - Country:US
Mailing Address - Phone:785-476-5212
Mailing Address - Fax:
Practice Address - Street 1:9401 ANDERMATT DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9507
Practice Address - Country:US
Practice Address - Phone:785-476-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist