Individual
NICHOLAS A KAVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4242 FARNAM ST, OMAHA, NE 68131-2806
(402) 552-6094
Mailing address
361 N 46TH ST APT 3317, OMAHA, NE 68132-3275
(217) 414-4509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1144
NE
Other
Enumeration date
03/21/2024
Last updated
04/29/2024
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