Individual
ELLIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6717 N 63RD ST, OMAHA, NE 68152-2210
(531) 299-1940
Mailing address
3215 CUMING ST, OMAHA, NE 68131-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2543
NE
Other
Enumeration date
11/06/2020
Last updated
11/22/2024
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