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NPI 1558234161

NPI 1558234161 : JEFFREY JOSEPH WESTERMAN PH.D. : LA VISTA, NE

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General NPI Number Information
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    NPI Number           |    1558234161
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY JOSEPH WESTERMAN PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2025
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    6949 S 110TH ST 
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    City                 |    LA VISTA
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    State                |    NE
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    Zip                  |    68128-5722
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    Country              |    US
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    Telephone            |    402-597-4975
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3105 S 163RD ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68130-2064
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    Country              |    US
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    Telephone            |    402-597-4975
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    NE
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