NPI 1396317418 · live from the CMS NPI Registry
Omar Bravo, Psy.D, LP
Psychologist, Clinical in Lincoln, NE. National Provider Identifier 1396317418, active.
NPI record
| NPI | 1396317418 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3201 Pioneers Blvd Ste 300, Lincoln, NE 68502 |
| Practice phone | 402-317-5412 |
| Enumerated | July 16, 2021 |
| Last updated | February 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1130 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.