NPI 1508087206

Ibukunola Charles Jegede, PHD

Practitioner Clinical Neuropsychologist Omaha, NE

Practice location

Address: 17500 Burke St, Omaha, NE 68118-2244
Phone: (402) 401-3566

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 561 (NE)

Other Clinical Neuropsychologist providers in Nebraska →

Registry record

NPI: 1508087206
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 28 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.