| Joseph Swoboda Phd, Llc | |
|
3801 Union Dr Ste 206 Lincoln NE 68516-6652 | |
| (402) 489-2218 | |
| (402) 489-3666 |
| Full Name | Joseph Swoboda Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3801 Union Dr, Lincoln, Nebraska |
| Authorized Official Name and Position | Joseph Stephen Swoboda (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 4024329789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Swoboda Phd, Llc 3801 Union Dr Ste 206 Lincoln NE 68516-6652 Ph: (402) 489-2218 | Joseph Swoboda Phd, Llc 3801 Union Dr Ste 206 Lincoln NE 68516-6652 Ph: (402) 489-2218 |
| NPI Number | 1629246897 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 2961580212 |
|---|---|
| Medicare Enrollment ID | O20080428000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629246897 | NPI | - | NPPES |
| 10025286200 | Medicaid | NE | |
| 1063425171 | Other | NE | PHD NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 261 (Nebraska) | Primary |
| Provider Name | Joseph Stephen Swoboda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063425171 PECOS PAC ID: 8123052255 Enrollment ID: I20050919000914 |
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