NPI | 1417231952 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROBERT STONE President 402-483-1125 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 14) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NE 14) |
103TC0700X Psychologist, Clinical (Licence: NE 14) | |
Enumeration Date | 2011-10-03 |
Last Update Date | 2011-10-03 |