MEDICARE: TOBY DRESDNER

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
1	103TC0700X	Clinical Psychologist	NA	NE

General Provider Information

NPI Number	:	1417888314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOBY DRESDNER

Provider Business Mailing Address
First Line	:	4350 EMILE ST
Second Line	:	LEVEL 5
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 EMILE ST
Second Line	:	LEVEL 5
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-5031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ TOBY DRESDNER ” Practice Location

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