| Inkblots Counseling Llc | |
|
208 N 5th St Ste C Norfolk NE 68701-4155 | |
| (402) 640-4779 | |
| (402) 564-7735 |
| Full Name | Inkblots Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 208 N 5th St Ste C, Norfolk, Nebraska |
| Authorized Official Name and Position | John Gerrit Laskowski (OWNER/OPERATOR) |
| Authorized Official Contact | 4026404779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inkblots Counseling Llc 208 N 5th St Ste C Norfolk NE 68701-4155 Ph: (402) 640-4779 | Inkblots Counseling Llc 208 N 5th St Ste C Norfolk NE 68701-4155 Ph: (402) 640-4779 |
| NPI Number | 1467823260 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Medicare PECOS PAC ID | 1456654615 |
|---|---|
| Medicare Enrollment ID | O20160121000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467823260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 604 (Nebraska) | Primary |
| Provider Name | John G Laskowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699731174 PECOS PAC ID: 4880777259 Enrollment ID: I20080207000485 |
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