| Prairie Psychological Services, Inc | |
|
219 Main St Ste 2 Wayne NE 68787-1924 | |
| (402) 494-0040 | |
| Not Available |
| Full Name | Prairie Psychological Services, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 219 Main St, Wayne, Nebraska |
| Authorized Official Name and Position | Twila L Preston (CLINICAL PSYCHOLOGIST/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 219 Main St Ste 2 Wayne NE 68787-1924 Ph: (402) 494-0040 |
| NPI Number | 1144646142 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144646142 | NPI | - | NPPES |
| 293374000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 531 (Nebraska) | Primary |
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