| The Stephanos Group, Llc | |
|
15555 W Dodge Rd Omaha NE 68154-2070 | |
| (402) 650-3100 | |
| Not Available |
| Full Name | The Stephanos Group, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15555 W Dodge Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Deborah Hoffman (OWNER) |
| Authorized Official Contact | 4026503100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stephanos Group, Llc Po Box 540201 Omaha NE 68154-0201 Ph: (402) 650-3100 | The Stephanos Group, Llc 15555 W Dodge Rd Omaha NE 68154-2070 Ph: (402) 650-3100 |
| NPI Number | 1104976786 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104976786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 459 (Nebraska) | Primary |
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