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Individual

DR. SEAN ERIC SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-6990
(402) 483-7045
Mailing address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-6990
(402) 483-7045

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
624
NE
103T00000X
Psychologist
Primary
624
NE
103TC0700X
Clinical Psychologist
624
NE
103TF0200X
Forensic Psychologist
624
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10024968900
NE
05
10024969000
NE
01
246565
MIDLANDS CHOICE
NE
05
470798717-26
NE
05
470798717-27
NE
05
470798717-29
NE
05
47079871700
NE
01
D80001
BCBS
NE
Enumeration date
07/07/2006
Last updated
09/11/2025
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