| Prairie Psychological Services Inc. | |
|
625 E 39th St South Sioux City NE 68776-3445 | |
| (402) 494-0040 | |
| (402) 494-0050 |
| Full Name | Prairie Psychological Services Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 625 E 39th St, South Sioux City, Nebraska |
| Authorized Official Name and Position | Twila L Preston (OWNER) |
| Authorized Official Contact | 4024940040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Psychological Services Inc. 625 E 39th St South Sioux City NE 68776-3445 Ph: (402) 494-0040 | Prairie Psychological Services Inc. 625 E 39th St South Sioux City NE 68776-3445 Ph: (402) 494-0040 |
| NPI Number | 1639161904 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639161904 | NPI | - | NPPES |
| 10025015800 | Medicaid | NE |
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