Pathways Psychology, Llc | |
2208 Broadway Scottsbluff NE 69361-1970 | |
(308) 632-8084 | |
(308) 630-0821 |
Full Name | Pathways Psychology, Llc |
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Speciality | Psychologist |
Location | 2208 Broadway, Scottsbluff, Nebraska |
Authorized Official Name and Position | Peggy L Sheets (CREDENTIALING) |
Authorized Official Contact | 3086411262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pathways Psychology, Llc 2208 Broadway Scottsbluff NE 69361-1970 Ph: (308) 632-8084 | Pathways Psychology, Llc 2208 Broadway Scottsbluff NE 69361-1970 Ph: (308) 632-8084 |
NPI Number | 1568959104 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 04/19/2018 |
Medicare PECOS PAC ID | 2961758024 |
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Medicare Enrollment ID | O20180702002894 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568959104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Pamela Ann Richardson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447397534 PECOS PAC ID: 5597940841 Enrollment ID: I20110429000621 |
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