Individual
SHAYLEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
17880 MARCY ST, OMAHA, NE 68118-3556
(402) 334-9302
Mailing address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2644
NE
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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