Individual
DR. LEE BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10543 POPPLETON AVE, OMAHA, NE 68124-1033
(402) 391-6467
(402) 391-5833
Mailing address
10543 POPPLETON AVE, OMAHA, NE 68124-1033
(402) 391-6467
(402) 391-5833
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470584673-00
—
NE
Enumeration date
08/10/2006
Last updated
07/08/2007
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