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Mary Underwood, MA, CCC-SLP

Speech-Language Pathologist, in Omaha, NE. Individual provider (NPI-1).

NPI number1083173637
StatusActive
Last updated in NPPESMar 13, 2019

Details

NPI
1083173637
Entity type
Individual (NPI-1)
Name
Mary Underwood
Credential
MA, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 13, 2019
Last updated
Mar 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,633NEYes

Practice location

10205 W St
Omaha, NE 68127-3043

Phone 402-658-9536

Mailing address

10205 W St
Omaha, NE 68127-3043

Phone 402-658-9536

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