| Pediatric Psychology Associates, Pc | |
|
722 Court St Ste 103 Beatrice NE 68310-3928 | |
| (402) 806-1700 | |
| (402) 228-2202 |
| Full Name | Pediatric Psychology Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 722 Court St Ste 103, Beatrice, Nebraska |
| Authorized Official Name and Position | Leland Carl Zlomke (CEO) |
| Authorized Official Contact | 4028061700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Psychology Associates, Pc 1400 Oak Street Beatrice NE 68310-4402 Ph: (402) 806-1700 | Pediatric Psychology Associates, Pc 722 Court St Ste 103 Beatrice NE 68310-3928 Ph: (402) 806-1700 |
| NPI Number | 1801091988 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801091988 | NPI | - | NPPES |
| 100257225-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Nebraska) | Secondary |
| 103T00000X | Psychologist | (Nebraska) | Primary |
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