Provider Demographics
NPI:1588206148
Name:CLAUSON, MADELINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:CLAUSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 S 215TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3252
Mailing Address - Country:US
Mailing Address - Phone:402-332-0125
Mailing Address - Fax:
Practice Address - Street 1:7600 S 72ND ST
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-2658
Practice Address - Country:US
Practice Address - Phone:402-517-8012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist