Callahan, Ty Scott

Callahan, Ty Scott is an sole proprietor health care provider with primary practice located at 4242 Farnam St Suite 655, Omaha NE 68131-2806. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Callahan, Ty Scott can be contacted via phone (402) 552-2665.

Contact Information

Primary practice address
4242 Farnam St Suite 655 Omaha NE 68131-2806
Phone: (402) 552-2665
Fax: (402) 552-2655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 530 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 530 Nebraska
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 530 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 530 Nebraska

Profile Details

NPI number 1992829022
LBN Legal business name Callahan, Ty Scott
Credentials PH.D., A.B.P.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992829022 NPPES
Nebraska MEDICAID 10025060500

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