Provider Demographics
NPI:1962921189
Name:KUNZ, JASMIN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:KUNZ
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:JASMIN
Other - Middle Name:
Other - Last Name:STONACEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CF-SLP
Mailing Address - Street 1:715 N 82ND PLZ APT 3
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3590
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7821 TERRY DR
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3943
Practice Address - Country:US
Practice Address - Phone:402-898-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist