| NPI | 1326417320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE L BUTTS Credentialing Supervisor 402-504-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 703) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |