| Lynn E Flint Widdifield | |
|
1811 W 2nd St Suite 310 Grand Island NE 68803-5464 | |
| (308) 381-0787 | |
| (308) 381-4632 |
| Full Name | Lynn E Flint Widdifield |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1811 W 2nd St, Grand Island, Nebraska |
| Authorized Official Name and Position | Lynn E Flint Widdifield (OWNER SOLE THERAPIST) |
| Authorized Official Contact | 3083810787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn E Flint Widdifield 1811 W 2nd St Suite 310 Grand Island NE 68803-5413 Ph: (308) 381-0787 | Lynn E Flint Widdifield 1811 W 2nd St Suite 310 Grand Island NE 68803-5464 Ph: (308) 381-0787 |
| NPI Number | 1437217643 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437217643 | NPI | - | NPPES |
| 10025443500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1209 (Nebraska) | Primary |
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