Individual
DR. NATHAN SUDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., L.P.
Contact information
Practice address
16909 LAKESIDE HILLS CT STE 400, OMAHA, NE 68130
(402) 758-5850
(402) 758-5855
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
077703
IA
103TC0700X
Clinical Psychologist
Primary
805
NE
103TC0700X
Clinical Psychologist
LP5438
MN
Other
Enumeration date
11/20/2011
Last updated
05/17/2018
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