Individual
KELLY LYNN TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4565 S 133RD ST, OMAHA, NE 68137-1142
(402) 590-2947
(402) 590-2030
Mailing address
4565 S 133RD ST, OMAHA, NE 68137-1142
(402) 590-2947
(402) 590-2030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/26/2019
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