| Jerry Authier, Phd, Pc | |
|
11414 W Center Rd Suite 243 Omaha NE 68144-4486 | |
| (402) 333-8210 | |
| (402) 333-2298 |
| Full Name | Jerry Authier, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 11414 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Jerry Lane Authier (OWNER) |
| Authorized Official Contact | 4023338210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Authier, Phd, Pc 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 | Jerry Authier, Phd, Pc 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 |
| NPI Number | 1295812998 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295812998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 133 (Nebraska) | Primary |
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