Individual
JENNIFER D BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6402
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6402
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8644
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/02/2008
Last updated
10/29/2014
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