Individual
JACI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF- SLP
Contact information
Practice address
2405 S 138TH ST, OMAHA, NE 68144-2498
(402) 715-1295
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
799
NE
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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