| Leslie Delong, PhD, P.C. | |
|
650 J St Ste 201 Lincoln NE 68508 | |
| (402) 413-6430 | |
| Not Available |
| Full Name | Leslie Delong, PhD, P.C. |
|---|---|
| Speciality | Psychologist |
| Location | 650 J St Ste 201, Lincoln, Nebraska |
| Authorized Official Name and Position | Leslie B Delong (PRESIDENT) |
| Authorized Official Contact | 4024136430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Delong, PhD, P.C. 650 J St Ste 201 Lincoln NE 68508-2979 Ph: (402) 413-6430 | Leslie Delong, PhD, P.C. 650 J St Ste 201 Lincoln NE 68508 Ph: (402) 413-6430 |
| NPI Number | 1366933624 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 8325382294 |
|---|---|
| Medicare Enrollment ID | O20181204000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366933624 | NPI | - | NPPES |
| Provider Name | Leslie Brooke Delong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700384054 PECOS PAC ID: 6002177136 Enrollment ID: I20180306000443 |
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