Provider Demographics
NPI:1871858803
Name:SEGER, BECKY LEE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:LEE
Last Name:SEGER
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 1:50477 873RD RD
Mailing Address - Street 2:
Mailing Address - City:PAGE
Mailing Address - State:NE
Mailing Address - Zip Code:68766-5536
Mailing Address - Country:US
Mailing Address - Phone:402-340-3028
Mailing Address - Fax:402-925-2810
Practice Address - Street 1:50477 873RD RD
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:NE
Practice Address - Zip Code:68766-5536
Practice Address - Country:US
Practice Address - Phone:402-340-3028
Practice Address - Fax:402-925-2810
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist