Individual
JESSICA TORI WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 NORMAL BLVD STE 201, LINCOLN, NE 68506-5250
(402) 261-4017
Mailing address
1123 N 9TH ST, BEATRICE, NE 68310-2041
(402) 228-3386
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
712
NE
Other
Enumeration date
06/13/2017
Last updated
02/21/2024
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