Individual
DR. PAUL EDWARD MENOUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
(402) 408-2534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
100674
NE
103TS0200X
School Psychologist
100674
NE
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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