NPI 1063727360 · live from the CMS NPI Registry
Brian Lee Hofsommer
Marriage & Family Therapist in Omaha, NE. National Provider Identifier 1063727360, active.
NPI record
| NPI | 1063727360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 9300 Underwood Ave, Suite 240, Omaha, NE 68114 |
| Practice phone | 402-708-2348 |
| Mailing address | 1506 N 58th St, Omaha, NE 68104 |
| Enumerated | August 11, 2010 |
| Last updated | March 5, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 9610 (NE) |
| Marriage & Family Therapist primary | 106H00000X | 1343 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.