Individual
LYNN BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 553-3000
Mailing address
976 E WALNUT RD, WYMORE, NE 68466-8013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
489
NE
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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