Individual
MARTHA JANE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.-SLP
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
(308) 761-3372
Mailing address
190094 UNIVERSITY ST, SCOTTSBLUFF, NE 69361-5752
(308) 635-6689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
371
NE
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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