Individual
MS. ELIZABETH S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3516 N 163RD PLZ, OMAHA, NE 68116-2106
(402) 968-3263
Mailing address
4699 PINE ST STE 103, OMAHA, NE 68106-2519
(402) 968-3263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1138
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025611200
—
NE
Enumeration date
08/30/2006
Last updated
09/17/2020
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