Organization Name: | PEDIATRIC PSYCHOLOGY ASSOCIATES, PC |
NPI Number: | 1801091988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LELAND CARL ZLOMKE (CEO) |
Mailing Address: | 722 Court St Ste 103 Beatrice |
State: | NE US |
Postal Code: | 683103928 |
Phone Number: | 4028061700 |
Fax Number: | 4022282202 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |