Individual
MRS. JANA MAREE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
447 S LOGAN AVE, 123 NORTH MINDEN AVENUE, MINDEN, NE 68959-1844
(308) 832-2460
Mailing address
447 S LOGAN AVE, 123 NORTH MINDEN AVENUE, MINDEN, NE 68959-1844
(308) 832-2460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01092759
NE
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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