Organization
PENGUIN PLACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KADAVY PSYD (OWNER/PSYCHOLOGIST)
(402) 580-5282
Entity
Organization
Contact information
Practice address
770 N COTNER BLVD STE 302, LINCOLN, NE 68505-2342
(402) 322-2419
(402) 347-7204
Mailing address
770 N COTNER BLVD STE 302, LINCOLN, NE 68505-2342
(402) 580-4282
(531) 229-0351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
07/25/2023
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