| NPI | 1114732971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BENTON BERRYMAN Clinical Psychologist/Owner 402-515-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |