Individual
TARA MARIE SJUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-6408
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6408
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4414
NE
103T00000X
Psychologist
Primary
883
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9665
—
NE
Enumeration date
07/26/2013
Last updated
10/01/2015
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