Individual
GRETCHEN PARGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12793 Q ST, OMAHA, NE 68137-3211
(402) 933-3134
(402) 575-5852
Mailing address
12793 Q ST, OMAHA, NE 68137-3211
(402) 933-3134
(402) 575-5852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00948
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00948
SLP LICENSE#
IA
Enumeration date
08/09/2016
Last updated
08/09/2016
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