Individual
DR. JEREMIAH ETHAN FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1197
NE
Other
Enumeration date
09/18/2023
Last updated
08/19/2025
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