Individual
JILL MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2295
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 343-4328
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
588
NE
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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