| NPI | 1699938035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD W KOHL President 402-423-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |