Provider Demographics
NPI:1982074258
Name:MUSIL, ANN MAREE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MAREE
Last Name:MUSIL
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 1:8024 NORTH RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68112-2116
Mailing Address - Country:US
Mailing Address - Phone:402-457-5704
Mailing Address - Fax:
Practice Address - Street 1:3300 N 22ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1988
Practice Address - Country:US
Practice Address - Phone:402-457-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist