| NPI | 1992881270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU PAINE Licensed Psychologist 402-488-4489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 559) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2011-10-27 |