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Organization

COLLEEN A. CONOLEY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN CONOLEY PHD (PRESIDENT)
(402) 597-2290
Entity
Organization

Contact information

Practice address
11330 Q ST STE 232, OMAHA, NE 68137-3679
(402) 597-2290
(402) 597-2345
Mailing address
11330 Q ST STE 232, OMAHA, NE 68137-3679
(402) 597-2290
(402) 597-2345

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
642
NE
103T00000X
Psychologist
642
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08228
BLUE CROSS
NE
05
10025173700
NE
05
10025420600
NE
01
246811
MIDLAND'S CHOICE
NE
Enumeration date
11/19/2009
Last updated
11/19/2009
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