Brenda Jean Bassingthwaite, Ph.D.
Psychologist in Omaha, NE. Individual provider (NPI-1).
NPI number1982996351
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1982996351
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda Jean Bassingthwaite
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2011
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1014 | NE | Yes |
| 103T00000X | Psychologist | 001146 | IA | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 001146 | IA | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 001146 | IA |
Practice location
444 S 44th StOmaha, NE 68131-3727
Phone 402-559-6408 · Fax 402-559-5737
Mailing address
985450 Nebraska Medical CtrOmaha, NE 68198-5450
Phone 402-559-6408 · Fax 402-559-5737
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