Individual
ANDREA CARL HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11506 NICHOLAS ST, SUITE 110, OMAHA, NE 68154-4407
(877) 230-3885
Mailing address
PO BOX 2387, WISE, VA 24293-2387
(276) 393-7670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006384
VA
235Z00000X
Speech-Language Pathologist
4110
TN
235Z00000X
Speech-Language Pathologist
SA10497
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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