MEDICARE: F.I.R.S.T. PROJECT INC.

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	103T00000X	Psychologist	462	NE

General Provider Information

NPI Number	:	1780873109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F.I.R.S.T. PROJECT INC.

Provider Business Mailing Address
First Line	:	1919 S 40TH ST STE 111
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5247
Country	:	US
Telephone Number	:	402-416-1892
Fax Number	:	402-488-7100

Provider Business Practice Location Address
First Line	:	1919 S 40TH ST STE 111
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5247
Country	:	US
Telephone Number	:	402-416-1892
Fax Number	:	402-488-7100

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARIA PRENDES-LINTEL
Credential	:	PHD
Telephone Number	:	402-416-1892

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	01/23/2008

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