Organization
VISINET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE MARIE KORTH PH.D., MSW (PROV. LICENSED PSYCHOLOGIST, LMHP)
(402) 334-2114
Entity
Organization
Contact information
Practice address
11836 ARBOR ST., OMAHA, NE 68144
(402) 898-8881
(402) 898-8886
Mailing address
11836 ARBOR ST, OMAHA, NE 68144-2937
(402) 898-8881
(402) 898-8886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
328
NE
104100000X
Social Worker
968, 236
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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