Provider Demographics
NPI:1386896017
Name:STOHS, BROOKE NOELLE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:NOELLE
Last Name:STOHS
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 1:8020 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4830
Mailing Address - Country:US
Mailing Address - Phone:402-420-1357
Mailing Address - Fax:
Practice Address - Street 1:8020 S 33RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4830
Practice Address - Country:US
Practice Address - Phone:402-420-1357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist