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Individual

DR. GARY CARL GARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
10040 REGENCY CIR, SUITE 250, OMAHA, NE 68114-3723
(402) 393-5432
(402) 393-0220
Mailing address
10040 REGENCY CIR, SUITE 250, OMAHA, NE 68114-3723
(402) 393-5432
(402) 393-0220

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
181
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048369
VALUEOPTIONS
NE
01
08430
BLUE CROSS / BLUE SHIELD
NE
01
103230
MANAGED HEALTH NETWORK
NE
05
421426801000
NE
01
4786
MIDLANDS CHOICE
NE
Enumeration date
08/05/2006
Last updated
07/08/2007
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