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DR. SEAN ERIC SAMUELS PSY.D.

Clinical Neuropsychologist

Lincoln, Nebraska

Provider NPI: 1215969514

Provider Information:
DR. SEAN ERIC SAMUELS PSY.D.
Gender: M
Not Sole Proprietor

Practice Location:
4545 S 86TH ST  LINCOLN, NE 68526 US
Tel: 402-483-6990  Fax: 402-483-7045

Business Mailing Address:
4545 S 86TH ST  LINCOLN, NE 68526 US
Tel: 402-483-6990  Fax: 402-483-7045

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NE624
X103T00000XBehavioral Health & Social Service Providers
Psychologist
NE624
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
NE624
X103TF0200XBehavioral Health & Social Service Providers
Psychologist
NE624

Other Provider Identifiers:

IssuerNumberStateType
47079871700NE05
MIDLANDS CHOICE246565NE01
470798717-26NE05
470798717-27NE05
BCBSD80001NE01
10024968900NE05
470798717-29NE05
10024969000NE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NE - Page 1



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