Individual
MEGHAN MARIE SMITH STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
130 E 9TH ST, FREMONT, NE 68025-4101
(402) 727-3084
Mailing address
130 E 9TH ST, FREMONT, NE 68025-4101
(402) 727-3084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20220003753
NE
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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