| NPI | 1124152996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BARNA Billing Compliance Manager 402-955-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-10-15 |