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DR. TY SCOTT CALLAHAN PH.D., A.B.P.P.

Clinical Neuropsychologist

Omaha, Nebraska

Provider NPI: 1992829022

Provider Information:
DR. TY SCOTT CALLAHAN PH.D., A.B.P.P.
Gender: M
Sole Proprietor


Practice Location:
4242 FARNAM ST SUITE 655 OMAHA, NE 68131 US
Tel: 402-552-2665  Fax: 402-552-2655

Business Mailing Address:
4242 FARNAM ST SUITE 655 OMAHA, NE 68131 US
Tel: 402-552-2665  Fax: 402-552-2655

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NE530
X103T00000XBehavioral Health & Social Service Providers
Psychologist
NE530
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
NE530
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
NE530

Other Provider Identifiers:

IssuerNumberStateType
10025060500NE05
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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