Organization
CHILD AND FAMILY PSYCHIATRIC SPECIALISTS LLC
Active
Organization
CHILD AND FAMILY PSYCHIATRIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J BERGERSON MD (PRESIDENT PHYSICIAN)
(402) 354-8033
Entity
Organization
Contact information
Practice address
9239 WEST CENTER RD, SUITE 225, OMAHA, NE 68124
(402) 354-8033
(402) 354-8044
Mailing address
9239 WEST CENTER RD, SUITE 225, OMAHA, NE 68124
(402) 354-8033
(402) 354-8044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21318
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025118600
—
NE
Enumeration date
11/27/2007
Last updated
01/08/2013
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