Individual
MADISON RAE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E 25TH ST STE 7, KEARNEY, NE 68847-5529
(308) 455-1781
(308) 455-1782
Mailing address
4832 10TH AVE, KEARNEY, NE 68845-8009
(402) 649-8326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2719
NE
Other
Enumeration date
04/12/2023
Last updated
09/18/2023
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