| Dr Emily Llc | |
|
4611 S 96th St Ste 177 Omaha NE 68127-1232 | |
| (402) 885-5090 | |
| (402) 575-9539 |
| Full Name | Dr Emily Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4611 S 96th St Ste 177, Omaha, Nebraska |
| Authorized Official Name and Position | Emily Campbell (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4028855090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily Llc 4611 S 96th St Ste 177 Omaha NE 68127-1232 Ph: (402) 885-5090 | Dr Emily Llc 4611 S 96th St Ste 177 Omaha NE 68127-1232 Ph: (402) 885-5090 |
| NPI Number | 1174188056 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 6002159407 |
|---|---|
| Medicare Enrollment ID | O20190529001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174188056 | NPI | - | NPPES |
| 1114240553 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Emily R. Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114240553 PECOS PAC ID: 2769634948 Enrollment ID: I20190529001619 |
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