Individual
RUBEN DARIO PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4101 WOOLWORTH AVE, MAIL CODE 116A1, OMAHA, NE 68105-1850
(402) 995-3490
Mailing address
4101 WOOLWORTH AVE, MAIL CODE 116A1, OMAHA, NE 68105-1850
(402) 995-3490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04322
MD
103TA0700X
Adult Development & Aging Psychologist
04322
MD
103TB0200X
Cognitive & Behavioral Psychologist
04322
MD
103TC0700X
Clinical Psychologist
04322
MD
Other
Enumeration date
05/08/2007
Last updated
10/15/2010
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