Provider Demographics
NPI:1396295549
Name:ECKELS, MAJKEN MARIE (MS)
Entity type:Individual
Prefix:MS
First Name:MAJKEN
Middle Name:MARIE
Last Name:ECKELS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S 37TH ST
Mailing Address - Street 2:#503
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1270
Mailing Address - Country:US
Mailing Address - Phone:402-557-4100
Mailing Address - Fax:
Practice Address - Street 1:8210 S 42ND ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68147-1705
Practice Address - Country:US
Practice Address - Phone:402-557-4100
Practice Address - Fax:402-557-4129
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE556235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist