Individual provider · Type 1 NPI

Larra Rae Petersen-Lukenda, PhD

Clinical Psychologist · Omaha, NE

NPI number 1114016607 Active

Practice location

4101 Woolworth Ave., Va Nebraska-Western Iowa Healthcare System
Omaha, NE 68105

Fax (402) 995-4562

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X654 (NE)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114016607

Larra Rae Petersen-Lukenda, PhD's National Provider Identifier is 1114016607, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Omaha, NE. The record was last updated on Mar 14, 2011.