Individual
DR. PEG M MILLER-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
CHILDREN'S FAMILY SUPPORT CENTER, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-3900
(402) 955-3920
Mailing address
CHILDREN'S FAMILY SUPPORT CENTER, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
509
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6155683
UNITED BEHAVIORAL HEALTH
—
01
—
71615
OPTIONS HEALTH CARE
—
01
—
8143
BCBS
NE
Enumeration date
12/29/2006
Last updated
07/08/2007
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