Provider Demographics
NPI:1215150016
Name:GERMANY-GREER, NENA M (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:NENA
Middle Name:M
Last Name:GERMANY-GREER
Suffix:
Gender:F
Credentials:MA, 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:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82931-0121
Mailing Address - Country:US
Mailing Address - Phone:307-789-0815
Mailing Address - Fax:
Practice Address - Street 1:417 LUCAS AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930-4955
Practice Address - Country:US
Practice Address - Phone:307-789-0815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY130235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist