Individual
MICHAEL G KAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10828 JOHN GALT BLVD, OMAHA, NE 68137-2328
(402) 592-4400
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
278
NE
Other
Enumeration date
08/30/2006
Last updated
01/29/2008
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