Individual
ALLISON Q GRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-6408
(402) 559-5737
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6408
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4111
NE
103T00000X
Psychologist
Primary
840
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444
NE STATE LICENSE
NE
Enumeration date
07/27/2011
Last updated
11/04/2014
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