Individual
DR. ANN ELIZABETH POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12822 AUGUSTA AVENUE, OMAHA, NE 68144
(402) 403-0190
(402) 932-4121
Mailing address
12822 AUGUSTA AVENUE, OMAHA, NE 68144
(402) 403-0190
(402) 932-4121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
279
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08382
BLUE CROSS BLUE SHIELD
NE
01
—
600509097
MEGELLAN
—
Enumeration date
01/13/2006
Last updated
08/29/2012
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