Organization
MEDITELECARE OF NEBRASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA P TROJANOWSKI (DIRECTOR OF REVENUE CYCLE)
(860) 788-6404
Entity
Organization
Contact information
Practice address
5601 S 59TH ST, LINCOLN, NE 68516
(860) 788-6404
(860) 829-0495
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
(860) 829-0495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/09/2018
Last updated
09/19/2019
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