Provider Demographics
NPI:1134241409
Name:BOMAN, STEVEN PAUL (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:BOMAN
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 FARNAM ST
Mailing Address - Street 2:300
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1880
Mailing Address - Country:US
Mailing Address - Phone:402-997-0666
Mailing Address - Fax:877-839-2161
Practice Address - Street 1:1299 FARNAM ST
Practice Address - Street 2:300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1880
Practice Address - Country:US
Practice Address - Phone:402-997-0666
Practice Address - Fax:877-839-2161
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1446106H00000X
NE4783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist