IndividualActive
Kassidy Brokaw, MA, CCC-SLP
NPI 1235791443 · Speech-Language Pathologist · Winside, NE
Provider details
- NPI number
- 1235791443
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 2492 (NE)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
57016 852nd Rd
Winside, NE 68790-5071
Phone: (402) 860-3088
Approximate (ZIP-level) locationGet directions
Mailing address
57016 852nd Rd
Winside, NE 68790-5071
Registry dates
- Enumerated
- 2019-07-08
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.