Provider Demographics
NPI:1548630056
Name:BESSLER, RAMONA (CCC-SP)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:BESSLER
Suffix:
Gender:F
Credentials:CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71940 574TH AVE
Mailing Address - Street 2:
Mailing Address - City:JANSEN
Mailing Address - State:NE
Mailing Address - Zip Code:68377-4056
Mailing Address - Country:US
Mailing Address - Phone:402-424-2805
Mailing Address - Fax:
Practice Address - Street 1:808 F ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-2011
Practice Address - Country:US
Practice Address - Phone:402-729-6104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist