Individual
TARA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
11620 N 156TH ST, BENNINGTON, NE 68007-5401
(402) 238-3044
Mailing address
7402 N 170TH ST, BENNINGTON, NE 68007-3308
(402) 541-9543
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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