55 Mdos Valid NPI
Organization · Clinical Psychologist · Offutt A F B, NE
- NPI
- 1285624262
- Type
- Organization (Type 2)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 679 (OK)
- Enumerated
- 2005-10-21
- Last updated
- 2008-06-13
Practice location
55 Mdos Sgo, 2501 Capehart Rd
Offutt A F B, NE 68113-1712
(402) 294-7883