| Sean E. Stevens, Ph.d. P.c. | |
|
12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 | |
| (402) 957-7536 | |
| Not Available |
| Full Name | Sean E. Stevens, Ph.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 12020 Shamrock Plz, Omaha, Nebraska |
| Authorized Official Name and Position | Sean Stevens (OWNER) |
| Authorized Official Contact | 4029577536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean E. Stevens, Ph.d. P.c. 12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 Ph: (402) 957-7536 | Sean E. Stevens, Ph.d. P.c. 12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 Ph: (402) 957-7536 |
| NPI Number | 1962952390 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 1254611320 |
|---|---|
| Medicare Enrollment ID | O20161207000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962952390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 739 (Nebraska) | Primary |
| Provider Name | Sean E Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508929324 PECOS PAC ID: 4587706908 Enrollment ID: I20100123000175 |
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