Organization
JLO PSYCHOLOGICAL CONSULTING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L OESTMANN PHD (OWNER)
(402) 434-2730
Entity
Organization
Contact information
Practice address
1203 HIGH ST, LINCOLN, NE 68502-4560
(402) 560-3558
(402) 488-7100
Mailing address
2621 N 81ST ST, LINCOLN, NE 68507-3347
(402) 434-2730
(402) 488-7100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
620
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025507100
—
NE
01
—
81118
BCBS INDIVIDUAL PROVIDER NUMBER
NE
Enumeration date
01/21/2009
Last updated
05/07/2009
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