Individual
MS. SAMANTHA M DELAGARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10708 CORBY CIR, OMAHA, NE 68164-3583
(402) 891-8300
(402) 891-8301
Mailing address
10708 CORBY CIR, OMAHA, NE 68164-3583
(402) 891-8300
(402) 891-8301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
565
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08229
BLUE CROSS BLUE SHIELD
NE
05
—
47080935726
—
NE
Enumeration date
11/22/2006
Last updated
07/08/2007
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