NPI | 1376871913 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN CONOLEY President 402-597-2290 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 642) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 642) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |