| NPI | 1588000772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARJORIE PERRY President 402-477-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 527) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-11-04 |