Individual
JOHNNEA KELLY PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 DECATUR ST, OMAHA, NE 68111-4144
(402) 943-7530
Mailing address
4514 LAUREL AVE, OMAHA, NE 68104-1461
(402) 943-7530
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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