Individual provider · Type 1 NPI
Michelle Medina
Health Service Psychologist · Bellevue, NE
Practice location
12103 S 29th St
Bellevue, NE 68123-1404
Mailing address
14210 Arbor St
Omaha, NE 68144-2385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 3747P1801X (NE) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Another provider at this address
About NPI 1891500708
Michelle Medina's National Provider Identifier is 1891500708, issued on Feb 8, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Bellevue, NE. The record was last updated on Feb 8, 2025.