NPI 1962663690 · live from the CMS NPI Registry
Brandy L Clarke, PHD
Psychologist in Omaha, NE. National Provider Identifier 1962663690, active.
NPI record
| NPI | 1962663690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 444 S 44th St, Omaha, NE 68131 |
| Practice phone | 402-559-6402 |
| Mailing address | 985450 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | June 25, 2008 |
| Last updated | June 8, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 749 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.