Individual
THEODORE JAMES DELAET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11414 W CENTER RD, SUITE 243, OMAHA, NE 68144-4486
(402) 333-8210
(402) 333-2298
Mailing address
6608 S 107TH ST, OMAHA, NE 68127-4558
(402) 331-3944
(402) 333-8210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
236
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-083617826
—
NE
Enumeration date
07/15/2006
Last updated
09/14/2011
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