Holly Pedersen, is a
Psychologist - School based in Crofton, Nebraska. Holly Pedersen is licensed to practice in Nebraska (license number 9681404483) and her current practice location is
1301 W 5th St, Crofton, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 388-4357.
NPI number for Holly Pedersen is 1215806609 and her current mailing address is 211 10th St, Wakefield, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215806609.
Healthcare Provider's Profile
| Full Name | Holly Pedersen |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
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| Location | 1301 W 5th St, Crofton, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215806609
- Provider Enumeration Date: 11/03/2025
- Last Update Date: 11/03/2025
Medical Identifiers
Medical identifiers for Holly Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215806609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 9681404483 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Pedersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Holly Pedersen, 211 10th St, Wakefield, NE 68784-5014 Ph: () - | Holly Pedersen, 1301 W 5th St, Crofton, NE 68730-4120 Ph: (402) 388-4357 |
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