| Doctor Name: | DR. LELAND CARL ZLOMKE |
| NPI Number: | 1164446605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 722 Court St Beatrice, NE - 683103928 |
| Business Phone Number: | 4028061700 |
| Business Fax Number: | 4022282202 |
| Mailing Address: | 1400 Oak St, BEATRICE |
| State: | NE |
| Postal Code: | 683105317 |
| Phone Number: | 4028061700 |
| Fax Number: | 4022282202 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |