Individual
DR. LELAND CARL ZLOMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
110 N 9TH ST, BEATRICE, NE 68310-4009
(402) 483-6990
(402) 483-7045
Mailing address
5321 S 78TH ST, LINCOLN, NE 68516-6356
(402) 806-1700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245672
MIDLANDS CHOICE
NE
01
—
49038
BCBS
NE
01
—
90095
BCBS AUXILLARY
NE
01
—
P00963834
MEDICARE RAILROAD
NE
Enumeration date
07/27/2006
Last updated
04/14/2020
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