Provider Demographics
NPI:1831478932
Name:CLAUSON, TRENA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TRENA
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 1:300 W MEIGS ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68064-9758
Mailing Address - Country:US
Mailing Address - Phone:402-359-8687
Mailing Address - Fax:402-359-8688
Practice Address - Street 1:300 W MEIGS ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:NE
Practice Address - Zip Code:68064-9758
Practice Address - Country:US
Practice Address - Phone:402-359-8687
Practice Address - Fax:402-359-8688
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist