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Organization

THEODORE J. DELAET, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEODORE JAMES DELAET PH.D. (PRESIDENT)
(402) 333-8210
Entity
Organization

Contact information

Practice address
11414 W CENTER RD, SUITE 243, OMAHA, NE 68144-4486
(402) 333-8210
(402) 333-2298
Mailing address
11414 W CENTER RD, SUITE 243, OMAHA, NE 68144-4486
(402) 333-8210
(402) 333-2298

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
236
NE

Other

Enumeration date
08/23/2013
Last updated
08/17/2018
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