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Individual

LINDA RENEE HEROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
4614 S 132ND ST, OMAHA, NE 68137-1764
(402) 330-3211
(402) 330-5970
Mailing address
933 E PIERCE ST STE 310, COUNCIL BLUFFS, IA 51503-4626
(712) 396-4300
(707) 570-1367

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
326
NE
231H00000X
Audiologist
AUD635
CO
231HA2400X
Assistive Technology Practitioner Audiologist
AUD635
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
635
COLORADO STATE LICENSE #
CO
Enumeration date
09/08/2011
Last updated
10/14/2020
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