Provider Demographics
NPI:1275978454
Name:NELSON SHEESE, AMELIA (PHD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:NELSON SHEESE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:984185 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-4185
Mailing Address - Country:US
Mailing Address - Phone:402-559-5031
Mailing Address - Fax:
Practice Address - Street 1:984185 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-4185
Practice Address - Country:US
Practice Address - Phone:402-559-5031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist