| Complete Autism Resources & Solutions, Pc, Llo | |
|
8525 Executive Woods Dr Ste 100 Lincoln NE 68512-9647 | |
| (402) 489-2218 | |
| (402) 489-3666 |
| Full Name | Complete Autism Resources & Solutions, Pc, Llo |
|---|---|
| Speciality | Psychologist |
| Location | 8525 Executive Woods Dr Ste 100, Lincoln, Nebraska |
| Authorized Official Name and Position | Diane C Marti (OWNER) |
| Authorized Official Contact | 4024892218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Autism Resources & Solutions, Pc, Llo 8525 Executive Woods Dr Ste 100 Lincoln NE 68512-9647 Ph: (402) 489-2218 | Complete Autism Resources & Solutions, Pc, Llo 8525 Executive Woods Dr Ste 100 Lincoln NE 68512-9647 Ph: (402) 489-2218 |
| NPI Number | 1275240475 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Medicare PECOS PAC ID | 2860860392 |
|---|---|
| Medicare Enrollment ID | O20221115000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275240475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane C Marti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912921560 PECOS PAC ID: 3476733478 Enrollment ID: I20110208000923 |
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