Individual
ASHLEY KOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1501 THURSTON AVE, BELLEVUE, NE 68123-2498
(402) 293-4074
Mailing address
1501 THURSTON AVE, BELLEVUE, NE 68123-2498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009006674
NE
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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