Healthcare Provider Details

I. General information

NPI: 1578481040
Provider Name (Legal Business Name): ABBEY DYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10824 OLD MILL RD STE 10-1
OMAHA NE
68154-2645
US

IV. Provider business mailing address

10824 OLD MILL RD STE 10-1
OMAHA NE
68154-2645
US

V. Phone/Fax

Practice location:
  • Phone: 402-680-1823
  • Fax: 402-991-3051
Mailing address:
  • Phone: 402-680-1823
  • Fax: 402-991-3051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1176
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: