| Conner Psychological Services Pc | |
|
8710 Frederick St Ste 101 Omaha NE 68124-3061 | |
| (402) 871-4474 | |
| (402) 998-5260 |
| Full Name | Conner Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 8710 Frederick St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Shari Marie Conner (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4028714474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conner Psychological Services Pc 8710 Frederick St Ste 101 Omaha NE 68124-3061 Ph: (402) 871-4474 | Conner Psychological Services Pc 8710 Frederick St Ste 101 Omaha NE 68124-3061 Ph: (402) 871-4474 |
| NPI Number | 1740748334 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Medicare PECOS PAC ID | 0941625834 |
|---|---|
| Medicare Enrollment ID | O20200810001903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740748334 | NPI | - | NPPES |
| 10025097700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shari Marie Conner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124030242 PECOS PAC ID: 9234101866 Enrollment ID: I20040812000689 |
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