Individual ProviderAndrea McdonaldSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address15403 U St, Omaha, NE 68137-2485(402) 350-5622PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Mcdonald does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831758861Provider TypeIndividualFull NameMcdonald, AndreaTitleMrs.CredentialMS, CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date6/12/2019Last Updated6/12/2019Contact InformationPractice LocationPractice Address15403 U St, Omaha, NE 68137-2485Phone(402) 350-5622FaxUnlisted FaxMailing LocationMailing Address15403 U St, Omaha, NE 68137-2485Phone(402) 350-5622FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1418Nebraska