Wildcat Hills Behavioral Health, Llc | |
2618 Avenue C Scottsbluff NE 69361-1680 | |
(308) 631-9243 | |
Not Available |
Full Name | Wildcat Hills Behavioral Health, Llc |
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Speciality | Psychologist - Clinical |
Location | 2618 Avenue C, Scottsbluff, Nebraska |
Authorized Official Name and Position | Alan J Smith (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 3086319211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wildcat Hills Behavioral Health, Llc 210094 Wrights Gap Rd Gering NE 69341-6016 Ph: (308) 631-9243 | Wildcat Hills Behavioral Health, Llc 2618 Avenue C Scottsbluff NE 69361-1680 Ph: (308) 631-9243 |
NPI Number | 1962755769 |
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Provider Enumeration Date | 10/18/2012 |
Last Update Date | 10/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962755769 | NPI | - | NPPES |
08317 | Other | NE | BLUE CROSS BLUE SHIELD |
10025416200 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 296 (Nebraska) | Primary |
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