Provider Demographics
NPI:1871759894
Name:AMAN, KJERSTIN LYNN (MS CFY-SLP/L)
Entity type:Individual
Prefix:MISS
First Name:KJERSTIN
Middle Name:LYNN
Last Name:AMAN
Suffix:
Gender:F
Credentials:MS CFY-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 N 112TH PLZ
Mailing Address - Street 2:#2815
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4989
Mailing Address - Country:US
Mailing Address - Phone:402-660-7868
Mailing Address - Fax:
Practice Address - Street 1:11623 ARBOR ST
Practice Address - Street 2:STE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2981
Practice Address - Country:US
Practice Address - Phone:402-334-1919
Practice Address - Fax:402-334-6844
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE170235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist