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Individual

STEPHANIE F KORALESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5893
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
449
NE
103TC1900X
Counseling Psychologist
Primary
449
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0599654
IA
05
080020
IA
05
1679680011
IA
05
47037660433
NE
Enumeration date
08/23/2006
Last updated
04/23/2013
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