Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 282 | NE |
Y | 103T00000X | Psychologist | 282 | NE |
NPI | 1013063932 |
---|---|
Provider Name | Elizabeth Zhe |
First Address | Omaha, NE 68131-2136 |
Second Address | Boystown, NE 68010-7501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47037660631 | (05) | NE |