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NPI Code Detail

MEDICARE: COMPLETE AUTISM RESOURCES & SOLUTIONS, PC, LLO

MEDICARE: COMPLETE AUTISM RESOURCES & SOLUTIONS, PC, LLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1275240475
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE AUTISM RESOURCES & SOLUTIONS, PC, LLO
Provider Business Mailing Address
First Line : 8525 EXECUTIVE WOODS DR STE 100
Second Line :
City : LINCOLN
State : NE
Zip : 68512-9647
Country : US
Telephone Number : 402-489-2218
Fax Number : 402-489-3666
Provider Business Practice Location Address
First Line : 8525 EXECUTIVE WOODS DR STE 100
Second Line :
City : LINCOLN
State : NE
Zip : 68512-9647
Country : US
Telephone Number : 402-489-2218
Fax Number : 402-489-3666
Authorized Official
Title or Position : OWNER
Name : DR. DIANE C MARTI
Credential : PHD
Telephone Number : 402-489-2218
Provider Enumeration Date : 10/28/2022
Last Update Date : 10/28/2022

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Directions to “COMPLETE AUTISM RESOURCES & SOLUTIONS, PC, LLO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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