| Cottam Psychological Services P.c. | |
|
2730 S. 87th Ave. Omaha NE 68124-3045 | |
| (402) 331-8085 | |
| (402) 331-8265 |
| Full Name | Cottam Psychological Services P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2730 S. 87th Ave., Omaha, Nebraska |
| Authorized Official Name and Position | Kelly Catherine Colegrove (OFFICE MANAGER) |
| Authorized Official Contact | 4023318085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottam Psychological Services P.c. 2730 S. 87th Ave. Omaha NE 68124-3045 Ph: (402) 331-8085 | Cottam Psychological Services P.c. 2730 S. 87th Ave. Omaha NE 68124-3045 Ph: (402) 331-8085 |
| NPI Number | 1104012970 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 11/07/2011 |
| Medicare PECOS PAC ID | 6204007909 |
|---|---|
| Medicare Enrollment ID | O20110928000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104012970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Glenda L Cottam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619194750 PECOS PAC ID: 6103097803 Enrollment ID: I20110928000572 |
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