Individual
MS. FALESA ANN IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 261-3714
Mailing address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 261-3714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
076673
IA
103T00000X
Psychologist
Primary
1119
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NE
Enumeration date
03/13/2012
Last updated
04/10/2024
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