Provider Demographics
NPI:1538034699
Name:OLIVER, REGINA (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-1869
Mailing Address - Country:US
Mailing Address - Phone:402-826-5833
Mailing Address - Fax:
Practice Address - Street 1:1700 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-1869
Practice Address - Country:US
Practice Address - Phone:402-826-5833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1-09-5732103K00000X
NE20240000681103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst