Individual
NANCY KRAUTER WILLCOCKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11840 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4475
(402) 932-7137
(402) 932-7136
Mailing address
11840 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4475
(402) 932-7137
(402) 932-7136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
241
NE
103TC0700X
Clinical Psychologist
Primary
241
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660467
—
NE
Enumeration date
06/08/2006
Last updated
01/27/2010
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