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Madison Rae Berg

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

NPI number1639865876
StatusActive
Last updated in NPPESSep 18, 2023

Details

NPI
1639865876
Entity type
Individual (NPI-1)
Name
Madison Rae Berg
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2023
Certification date
Sep 18, 2023
Last updated
Sep 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2719NEYes

Practice location

620 E 25th St Ste 7
Kearney, NE 68847-5529

Phone 308-455-1781 · Fax 308-455-1782

Mailing address

4832 10th Ave
Kearney, NE 68845-8009

Phone 402-649-8326

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