Individual
SARA S KUPZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-6408
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-6408
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4092
NE
103T00000X
Psychologist
Primary
851
NE
103TC0700X
Clinical Psychologist
8835
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/21/2011
Last updated
03/30/2018
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