Individual
MRS. ASHLEY MARCUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 S 17TH ST STE 202, LINCOLN, NE 68502-3763
(402) 483-8555
(402) 483-8554
Mailing address
2222 S 16TH ST STE 400A, LINCOLN, NE 68502-3785
(402) 483-8590
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2134
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
06/26/2020
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