| NPI | 1336224971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI GIVENS Member 402-483-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 263) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2497) |
| 101YP2500X Counselor Professional (Licence: NE 552) | |
| 103G00000X Clinical Neuropsychologist (Licence: NE 461) | |
| 103T00000X Psychologist (Licence: NE 636) | |
| 103T00000X Psychologist (Licence: NE 477) | |
| 103T00000X Psychologist (Licence: NE 527) | |
| 103T00000X Psychologist (Licence: NE 469) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NE 2811) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-09-08 |