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Organization
CHI
Active
Organization
CHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETER PSYD. (PSYCHOLOGIST/CLINIC SUPERVISOR)
(402) 572-2916
Entity
Organization
Contact information
Practice address
3528 DODGE ST, OMAHA, NE 68131-3202
(402) 717-5550
(402) 711-5792
Mailing address
3528 DODGE ST, OMAHA, NE 68131-3202
(402) 717-5550
(402) 711-5792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4002
NE
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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