Organization
THOMAS J. GILLIGAN, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. GILLIGAN PH.D. (PRESIDENT)
(402) 488-1032
Entity
Organization
Contact information
Practice address
8101 O ST, SUITE 214, LINCOLN, NE 68510-2646
(402) 488-1032
(402) 484-8545
Mailing address
706 MAPLE DR, EAGLE, NE 68347-2110
(402) 781-1122
(402) 781-1122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
171
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025642000
—
NE
Enumeration date
12/18/2008
Last updated
12/18/2008
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