Individual
DR. JEFFREY LOY STORMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1403 FARNAM ST, STE 215, OMAHA, NE 68102-2200
(402) 393-0642
(402) 391-2641
Mailing address
1403 FARNAM STREET, STE 215, OMAHA, NE 68502-5759
(402) 393-0642
(402) 391-2641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
146
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472928000
MAGELLAN MIS NUMBER
NE
01
—
6223012
UNITED BEHAVIORAL HEALTH
NE
01
—
84418
BC/BS PROVIDER NUMBER
NE
Enumeration date
08/10/2006
Last updated
12/30/2010
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