Healthcare Provider Details

I. General information

NPI: 1104086412
Provider Name (Legal Business Name): SHAUNA G CRIM PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAUNA SPERRY PSYD

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CAPEHART RD
OFFUTT AFB NE
68113-1043
US

IV. Provider business mailing address

11016 EDWARD STREET
PAPILLION NE
68046
US

V. Phone/Fax

Practice location:
  • Phone: 402-294-2362
  • Fax:
Mailing address:
  • Phone: 937-430-1025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1056
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6558
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: