Individual
KALEB LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 SHERIDAN BLVD, LINCOLN, NE 68506-6100
(402) 489-1834
Mailing address
3700 SHERIDAN BLVD STE 1, LINCOLN, NE 68506-6100
(402) 489-1834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11913
NE
Other
Enumeration date
06/26/2019
Last updated
02/25/2020
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