Provider Demographics
NPI:1649433095
Name:MEINZER, AMY BETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:BETH
Last Name:MEINZER
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:1105 HARNEY ST
Mailing Address - Street 2:APT 407
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1829
Mailing Address - Country:US
Mailing Address - Phone:402-415-1406
Mailing Address - Fax:712-366-0277
Practice Address - Street 1:3000 RISEN SON BLVD
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1911
Practice Address - Country:US
Practice Address - Phone:712-366-9655
Practice Address - Fax:712-366-0277
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA00934235Z00000X
NE618235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist