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2208 Broadway Scottsbluff NE 69361-1970 | |
| (308) 632-8080 | |
| (308) 632-8084 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2208 Broadway, Scottsbluff, Nebraska |
| Authorized Official Name and Position | April L. Davis (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3086328080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2208 Broadway Scottsbluff NE 69361-1970 Ph: (308) 632-8080 | 2208 Broadway Scottsbluff NE 69361-1970 Ph: (308) 632-8080 |
| NPI Number | 1902151681 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902151681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 811 (Nebraska) | Primary |
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