| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 621 N 51st St, Omaha, Nebraska |
| Authorized Official Name and Position | Louisa Foster (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 4029334070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5010 Chicago St Omaha NE 68132-2926 Ph: (402) 933-4070 | 621 N 51st St Omaha NE 68132-2229 Ph: (402) 933-4070 |
| NPI Number | 1205371044 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205371044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 572 (Nebraska) | Primary |
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