| Jlo Psychological Consulting Pc | |
|
1203 High St Lincoln NE 68502-4560 | |
| (402) 560-3558 | |
| (402) 488-7100 |
| Full Name | Jlo Psychological Consulting Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1203 High St, Lincoln, Nebraska |
| Authorized Official Name and Position | Jerry L Oestmann (OWNER) |
| Authorized Official Contact | 4024342730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlo Psychological Consulting Pc 2621 N 81st St Lincoln NE 68507-3347 Ph: (402) 434-2730 | Jlo Psychological Consulting Pc 1203 High St Lincoln NE 68502-4560 Ph: (402) 560-3558 |
| NPI Number | 1306084876 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306084876 | NPI | - | NPPES |
| 10025507100 | Medicaid | NE | |
| 81118 | Other | NE | BCBS INDIVIDUAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 620 (Nebraska) | Primary |
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