Healthcare Provider Details

I. General information

NPI: 1467170720
Provider Name (Legal Business Name): HUMAN SPECTRUM NEUROPSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 EXECUTIVE WOODS DR STE 100
LINCOLN NE
68512-9647
US

IV. Provider business mailing address

9710 HOLLOW TREE DR
LINCOLN NE
68512-9536
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-2218
  • Fax: 402-489-3666
Mailing address:
  • Phone: 206-817-3171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWN CURTIS
Title or Position: OWNER
Credential: PSYD
Phone: 402-489-2218