Andrea Petersen McGregor, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Neligh, NE

NPI 1215215322 · NPPES record last updated Sep 24, 2015

Key facts

NPI
1215215322
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1363 (NE)
Practice address
302 Main St
Neligh, NE 68756-1421
Phone
(402) 887-5041
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1363NEMDAerospace Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1363 NE Yes

Addresses

Primary practice location

302 Main St
Neligh, NE 68756-1421

Mailing address

907 Woodcrest Dr
Norfolk, NE 68701-1821
Phone (402) 980-9593

Other providers in Neligh, NE

All providers in Neligh, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.