Individual
DR. JACQUELINE KAY RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7441 O ST, STE 402, LINCOLN, NE 68510-2466
(402) 483-4215
(402) 483-5228
Mailing address
3923 N 269TH CIR, VALLEY, NE 68064-4435
(402) 504-4101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
436
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08002
BCBS
NE
01
—
5906
MIDLANDS CHOICE
NE
01
—
620005771
RAILROAD MEDICARE
NE
05
—
777645000
—
NE
Enumeration date
11/30/2005
Last updated
02/22/2013
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