Individual
TRACIE M HECKENLIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2500 CHASE ST, FALLS CITY, NE 68355-1113
(402) 245-2712
Mailing address
2525 HILAND AVE, FALLS CITY, NE 68355-1048
(402) 245-5579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
951841
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951841
DHHS
NE
Enumeration date
09/01/2015
Last updated
09/01/2015
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