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NPI Code Detail

MEDICARE: MRS. MEGAN NICOLE GROTH M.S.

MEDICARE: MRS. MEGAN NICOLE GROTH M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist20240013022NE
2235Z00000XSpeech-Language Pathologist1027NE

General Provider Information

NPI Number : 1477371276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN NICOLE GROTH M.S.
Provider Business Mailing Address
First Line : 3706 MAPLE ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-3125
Country : US
Telephone Number : 531-299-1720
Fax Number :
Provider Business Practice Location Address
First Line : 3706 MAPLE ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-3125
Country : US
Telephone Number : 531-299-1720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 10/08/2024

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Directions to “ MRS. MEGAN NICOLE GROTH M.S.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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