Provider Demographics
NPI:1811444292
Name:SIMANEK, LORI (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:SIMANEK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 DENVER ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-1187
Mailing Address - Country:US
Mailing Address - Phone:402-352-9940
Mailing Address - Fax:
Practice Address - Street 1:2404 DENVER ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-1187
Practice Address - Country:US
Practice Address - Phone:402-352-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist