Organization
PRAIRIE PSYCHOLOGICAL SERVICES, INC
Active
Organization
PRAIRIE PSYCHOLOGICAL SERVICES, INC
Active
Parent organization
PRAIRIE PSYCHOLOGICAL SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE PSYCHOLOGICAL SERVICES, INC
Authorized official
TWILA L PRESTON PHD (CLINICAL PSYCHOLOGIST/OWNER)
(402) 494-0040
Entity
Organization
Contact information
Practice address
219 MAIN ST, STE 2, WAYNE, NE 68787-1924
(402) 494-0040
Mailing address
625 E 39TH ST, SOUTH SIOUX CITY, NE 68776-3445
(402) 494-0040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
531
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293374000
—
NE
Enumeration date
03/14/2014
Last updated
03/14/2014
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