Provider Demographics
NPI:1851148209
Name:YOUR CORNER CHILDREN'S SPEECH AND LANGUAGE SERVICES, INC.
Entity type:Organization
Organization Name:YOUR CORNER CHILDREN'S SPEECH AND LANGUAGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SPEECH LANGUAGE PATHOLOGI
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:MA/CC-SLP
Authorized Official - Phone:402-217-5020
Mailing Address - Street 1:2312 CALUMET CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4115
Mailing Address - Country:US
Mailing Address - Phone:402-217-5020
Mailing Address - Fax:
Practice Address - Street 1:2312 CALUMET CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-4115
Practice Address - Country:US
Practice Address - Phone:402-217-5020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty