Leslie Delong, Phd, P.c. | |
650 J St Ste 201 Lincoln NE 68508 | |
(402) 413-6430 | |
Not Available |
Full Name | Leslie Delong, Phd, P.c. |
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Speciality | Psychologist |
Location | 650 J St Ste 201, Lincoln, Nebraska |
Authorized Official Name and Position | Leslie B Delong (PRESIDENT) |
Authorized Official Contact | 4024136430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leslie Delong, Phd, P.c. 650 J St Ste 201 Lincoln NE 68508-2979 Ph: (402) 413-6430 | Leslie Delong, Phd, P.c. 650 J St Ste 201 Lincoln NE 68508 Ph: (402) 413-6430 |
NPI Number | 1366933624 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 09/04/2018 |
Medicare PECOS PAC ID | 8325382294 |
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Medicare Enrollment ID | O20181204000389 |
Identifier | Type | State | Issuer |
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1366933624 | NPI | - | NPPES |
Provider Name | Leslie Brooke Delong |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700384054 PECOS PAC ID: 6002177136 Enrollment ID: I20180306000443 |
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