Healthcare Provider Details

I. General information

NPI: 1851281265
Provider Name (Legal Business Name): ZIDA J ASAAD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 FREMONT ST
LINCOLN NE
68507-2093
US

IV. Provider business mailing address

8921 FREMONT ST
LINCOLN NE
68507-2093
US

V. Phone/Fax

Practice location:
  • Phone: 402-601-6593
  • Fax:
Mailing address:
  • Phone: 402-601-6593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: