Individual
THOMAS J TIEGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
755 FALLBROOK BLVD, SUITE 100, LINCOLN, NE 68521-4643
(402) 875-0632
Mailing address
755 FALLBROOK BLVD, SUITE 100, LINCOLN, NE 68521-4643
(402) 875-0632
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
747
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025071300
—
NE
Enumeration date
05/18/2010
Last updated
12/15/2010
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