Individual
NATALIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20210009540
NE
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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