| Cornerstone Counseling, P.c. | |
|
3280 Woodridge Blvd Ste 200 Grand Island NE 68801-7481 | |
| (308) 382-1764 | |
| (308) 395-3730 |
| Full Name | Cornerstone Counseling, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 3280 Woodridge Blvd, Grand Island, Nebraska |
| Authorized Official Name and Position | Lisa A Pattison (OWNER/OPERATOR) |
| Authorized Official Contact | 3083821764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling, P.c. 3280 Woodridge Blvd Ste 200 Grand Island NE 68801-7481 Ph: (308) 382-1764 | Cornerstone Counseling, P.c. 3280 Woodridge Blvd Ste 200 Grand Island NE 68801-7481 Ph: (308) 382-1764 |
| NPI Number | 1770772535 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 6305903352 |
|---|---|
| Medicare Enrollment ID | O20090319000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770772535 | NPI | - | NPPES |
| 47078358200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Lisa A Pattison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922048859 PECOS PAC ID: 7618048000 Enrollment ID: I20080612000095 |
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