Individual
MARIA L PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 S 24TH ST, OMAHA, NE 68107-1817
(531) 299-9298
Mailing address
12905 OHIO CIR, OMAHA, NE 68164-3470
(531) 777-4950
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
12288
NE
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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