Healthcare Provider Details

I. General information

NPI: 1346307618
Provider Name (Legal Business Name): RUTH CECELIA FARRINGTON M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6751 N 72ND ST SUITE 207
OMAHA NE
68122-1746
US

IV. Provider business mailing address

6751 N 72ND ST SUITE 207
OMAHA NE
68122-1746
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-3165
  • Fax: 402-572-3170
Mailing address:
  • Phone: 402-572-3165
  • Fax: 402-572-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number221
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: