| Western Plains Psychology P.c. | |
|
3911 Ave B, Suite 3400 South Plaza Scottsbluff NE 69361 | |
| (308) 630-7966 | |
| (308) 630-1028 |
| Full Name | Western Plains Psychology P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3911 Ave B, Suite 3400, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Nicole White-vidlak (OWER/PRES.) |
| Authorized Official Contact | 3086307966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Plains Psychology P.c. P.o. Box 1367 Scottsbluff NE 69363-1367 Ph: (308) 630-7966 | Western Plains Psychology P.c. 3911 Ave B, Suite 3400 South Plaza Scottsbluff NE 69361 Ph: (308) 630-7966 |
| NPI Number | 1548560584 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548560584 | NPI | - | NPPES |
| 10025891800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 605 (Nebraska) | Primary |
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