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Organization

BEHAVIORAL MEDICINE CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN E MEYER PH.D. (PSYCHOLOGIST)
(402) 729-6379
Entity
Organization

Contact information

Practice address
510 D ST STE 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094
Mailing address
510 D ST STE 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
439
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10024987500
NE
Enumeration date
01/22/2009
Last updated
01/22/2009
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