Individual
KATHLEEN DERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
(402) 573-3700
Mailing address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
975
NE
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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