NPI 1174534861 · live from the CMS NPI Registry
Lee Branham, PhD
Psychologist, Clinical in Omaha, NE. National Provider Identifier 1174534861, active.
NPI record
| NPI | 1174534861 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 10543 Poppleton Ave, Omaha, NE 68124 |
| Practice phone | 402-391-6467 |
| Enumerated | August 10, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 30 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.