Basic Information
Provider Information
NPI: 1437350477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGEE
FirstName: REBECCA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: AUD, CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17030 LAKESIDE HILLS PLZ
Address2: STE. 204
City: OMAHA
State: NE
PostalCode: 681302396
CountryCode: US
TelephoneNumber: 4027585600
FaxNumber: 4027585169
Practice Location
Address1: 17030 LAKESIDE HILLS PLZ
Address2: STE. 204
City: OMAHA
State: NE
PostalCode: 681302396
CountryCode: US
TelephoneNumber: 4027585600
FaxNumber: 4027585169
Other Information
ProviderEnumerationDate: 05/29/2007
LastUpdateDate: 08/21/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X231NEY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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