| NPI | 1669621678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CONRAD STANKUS Doctor Of Psychology 402-680-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 288) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2011-01-12 |