| Psychologics Pc | |
|
8011 Chicago St Omaha NE 68114-3533 | |
| (402) 203-9563 | |
| (402) 345-2376 |
| Full Name | Psychologics Pc |
|---|---|
| Speciality | Psychologist |
| Location | 8011 Chicago St, Omaha, Nebraska |
| Authorized Official Name and Position | Lisa L Merrifield (PROVIDER) |
| Authorized Official Contact | 4022039563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychologics Pc 8011 Chicago St Omaha NE 68114-3533 Ph: (402) 203-9563 | Psychologics Pc 8011 Chicago St Omaha NE 68114-3533 Ph: (402) 203-9563 |
| NPI Number | 1669794301 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5991832966 |
|---|---|
| Medicare Enrollment ID | O20100422000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669794301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | 738 (Nebraska) | Primary |
| Provider Name | Lisa L Merrifield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558586461 PECOS PAC ID: 0143357111 Enrollment ID: I20100422000798 |
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