Individual
DR. WESLEY ELLWYN SIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 S 68TH STREET PL, SUITE #500, LINCOLN, NE 68510-2475
(402) 434-2730
(402) 434-3970
Mailing address
1919 SOUTH 40TH STREET, SUITE #335, LINCOLN, NE 68506-5286
(402) 420-2500
(402) 420-2501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
367
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08057
BLUE CROSS & BLUE SHIELD
NE
01
—
08140
BLUECROSS BLUESHIELD
NE
01
—
132852
VALUE OPTIONS #
NE
01
—
345680000
MAGELLAN MIS GT SITE
NE
05
—
470774254-26
—
NE
Enumeration date
08/29/2006
Last updated
07/19/2017
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