Organization Name: | BEHAVIORAL MEDICINE ASSOCIATES LLC |
NPI Number: | 1063582195 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LLOYD LEE KIMZEY (OWNER CLINICAL PSYCHOLOGIST) |
Mailing Address: | 220 W Leota St Suite 200 North Platte |
State: | NE US |
Postal Code: | 691016293 |
Phone Number: | 3085344872 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 675 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |