| NPI | 1841435484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MARIE KORTH Prov. Licensed Psychologist, Lmhp 402-334-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 328) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 968, 236) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |