NPI 1689753634 · live from the CMS NPI Registry
Child And Family Behavioral Health
Psychologist, Clinical in Lincoln, NE. National Provider Identifier 1689753634, active.
NPI record
| NPI | 1689753634 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 7441 O St, Suite 300, Lincoln, NE 68510 |
| Practice phone | 402-483-6575 |
| Enumerated | November 2, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Judith Bothern, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 314 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.