Individual
MEGAN NICOLE AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4700 GILES RD, OMAHA, NE 68157
(531) 299-6588
Mailing address
1604 GRANDVIEW AVE APT 35, PAPILLION, NE 68046-5820
(701) 741-4592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1520
ND
235Z00000X
Speech-Language Pathologist
Primary
2110
NE
Other
Enumeration date
08/07/2018
Last updated
08/10/2018
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