Individual
DR. CAROLINE G. SEDLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10506 BURT CIR, SUITE 100, OMAHA, NE 68114-2094
(402) 493-4444
(402) 493-1550
Mailing address
10506 BURT CIR, SUITE 100, OMAHA, NE 68114-2094
(402) 493-4444
(402) 493-1550
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
43
NE
103TC0700X
Clinical Psychologist
Primary
43
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470833060-13
MEDICAID-NEUROPSYCH
NE
05
—
470833060-26
—
NE
Enumeration date
09/16/2005
Last updated
03/19/2012
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