Individual
ELAINA NICOLE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4614 S 132ND ST, OMAHA, NE 68137-1764
(402) 330-3211
(402) 330-5970
Mailing address
820 W 56TH ST APT 57, KEARNEY, NE 68845-1023
(308) 214-1233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2526
NE
235Z00000X
Speech-Language Pathologist
773
NE
Other
Enumeration date
07/10/2020
Last updated
09/20/2021
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