Individual provider · Type 1 NPI

Jeremiah Ethan Fruge, PhD

Clinical Psychologist · Omaha, NE

NPI number 1740068071 Active

Practice location

4101 Woolworth Ave
Omaha, NE 68105-1850

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1197 (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 1740068071

Jeremiah Ethan Fruge, PhD's National Provider Identifier is 1740068071, issued on Sep 18, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Omaha, NE. The record was last updated on Aug 19, 2025.