Organization
PEACE PRACTICE PSYCHOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE ROMANIK (BILLING SPECIALIST)
(402) 496-9966
Entity
Organization
Contact information
Practice address
1919 S 40TH ST, STE 111, LINCOLN, NE 68506-5243
(402) 488-3037
Mailing address
1919 S 40TH ST, STE 111, LINCOLN, NE 68506-5243
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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