Individual
DR. CONRADO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1311 S 9TH ST, OMAHA, NE 68108-3629
(402) 210-9393
(402) 339-4709
Mailing address
15822 S 63RD ST, PAPILLION, NE 68133-2651
(402) 212-4409
(402) 339-4709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
616
NE
103T00000X
Psychologist
PY6741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025231300
—
NE
01
—
249021
MIDLANDS CHOICE
NE
01
—
80012
BLUE CROSS BLUE SHIELD
NE
Enumeration date
01/08/2007
Last updated
07/09/2007
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