Wellformed AI

NPI 1205665338 · live from the CMS NPI Registry

Bridging The Gap Psychological Services LLC

Psychologist, Clinical in Omaha, NE. National Provider Identifier 1205665338, active.

NPI record

NPI1205665338 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location7701 Pacific St Ste 12, Omaha, NE 68114
Practice phone402-401-4266
EnumeratedJuly 29, 2024
Last updatedJuly 31, 2024
Authorized officialAaron White, Founder And Clinician

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.