Individual
MEGHAN R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
19607 RIDGEWAY RD, PLATTSMOUTH, NE 68048-8003
(402) 658-0003
Mailing address
19607 RIDGEWAY RD, PLATTSMOUTH, NE 68048-8003
(402) 658-0003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1725
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10247881
SECRETARY OF STATE
NE
Enumeration date
07/26/2010
Last updated
07/21/2022
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