| Summer M Allen-portsche Pc | |
|
2001 Pine Lake Rd Ste 350 Lincoln NE 68512-3651 | |
| (402) 560-0834 | |
| Not Available |
| Full Name | Summer M Allen-portsche Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2001 Pine Lake Rd Ste 350, Lincoln, Nebraska |
| Authorized Official Name and Position | Summer M Allen-portsche (PRESIDENT) |
| Authorized Official Contact | 4025600834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer M Allen-portsche Pc 2001 Pine Lake Rd Ste 350 Lincoln NE 68512-3651 Ph: (402) 560-0834 | Summer M Allen-portsche Pc 2001 Pine Lake Rd Ste 350 Lincoln NE 68512-3651 Ph: (402) 560-0834 |
| NPI Number | 1306216445 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 11/02/2015 |
| Medicare PECOS PAC ID | 6204136393 |
|---|---|
| Medicare Enrollment ID | O20151120002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306216445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 744 (Nebraska) | Primary |
| Provider Name | Summer M Allen Portsche |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316185226 PECOS PAC ID: 5294035382 Enrollment ID: I20151120002317 |
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