| Theodore J. Delaet, Ph.d., P.c. | |
|
11414 W Center Rd Suite 243 Omaha NE 68144-4486 | |
| (402) 333-8210 | |
| (402) 333-2298 |
| Full Name | Theodore J. Delaet, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11414 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Theodore James Delaet (PRESIDENT) |
| Authorized Official Contact | 4023338210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J. Delaet, Ph.d., P.c. 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 | Theodore J. Delaet, Ph.d., P.c. 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 |
| NPI Number | 1396179602 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396179602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 236 (Nebraska) | Primary |
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