Doctor Name: | ROBERT PICK |
NPI Number: | 1376760652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHP |
License Number: | 1544 |
Business Practice Address: | 13603 Flanagan Blvd Youth Care Building Boys Town, NE - 680107501 |
Business Phone Number: | 4024983358 |
Business Fax Number: | 4024983333 |
Mailing Address: | 13603 Flanagan Blvd, Youth Care Building BOYS TOWN |
State: | NE |
Postal Code: | 680107501 |
Phone Number: | 4024983358 |
Fax Number: | 4024983333 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |