Provider Demographics
NPI:1487934618
Name:ORESKOVICH, TERRY LEE JR (BC-HIS, BS)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:LEE
Last Name:ORESKOVICH
Suffix:JR
Gender:M
Credentials:BC-HIS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-5245
Mailing Address - Country:US
Mailing Address - Phone:402-515-9228
Mailing Address - Fax:
Practice Address - Street 1:702 N 129TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-6103
Practice Address - Country:US
Practice Address - Phone:402-515-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE900773231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier