Lisa Davis, Ed.S.
Psychologist, School in Omaha, NE. Individual provider (NPI-1).
NPI number1104718360
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1104718360
- Entity type
- Individual (NPI-1)
- Name
- Lisa Davis
- Credential
- Ed.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2025
- Certification date
- Jul 21, 2025
- Last updated
- Jul 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
909 S 76th StOmaha, NE 68114-4519
Phone 402-390-2100
Mailing address
909 S 76th StOmaha, NE 68114-4519
Phone 402-390-2100
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