| Wicks Psychological Services, Inc. | |
|
6550 S 84th St Suite 300 Omaha NE 68127-4194 | |
| (402) 339-7991 | |
| (402) 339-7624 |
| Full Name | Wicks Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 6550 S 84th St, Omaha, Nebraska |
| Authorized Official Name and Position | Patricia E. Wicks (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4023397991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wicks Psychological Services, Inc. 6550 S 84th St Suite 300 Omaha NE 68127-4194 Ph: (402) 339-7991 | Wicks Psychological Services, Inc. 6550 S 84th St Suite 300 Omaha NE 68127-4194 Ph: (402) 339-7991 |
| NPI Number | 1306011705 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 10/16/2014 |
| Medicare PECOS PAC ID | 7719109768 |
|---|---|
| Medicare Enrollment ID | O20141107000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306011705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 216 (Nebraska) | Primary |
| Provider Name | Patricia E Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538252150 PECOS PAC ID: 8527280577 Enrollment ID: I20141107000665 |
| Provider Name | Chris G Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699978585 PECOS PAC ID: 5496977282 Enrollment ID: I20141111001736 |
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