Individual
DR. ALLEN E MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
510 D ST, SUITE 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094
Mailing address
510 D ST, SUITE 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
439
NE
103TA0400X
Addiction (Substance Use Disorder) Psychologist
439
NE
103TA0700X
Adult Development & Aging Psychologist
439
NE
103TB0200X
Cognitive & Behavioral Psychologist
439
NE
103TC0700X
Clinical Psychologist
439
NE
103TC1900X
Counseling Psychologist
439
NE
103TC2200X
Clinical Child & Adolescent Psychologist
439
NE
103TF0000X
Family Psychologist
439
NE
103TM1800X
Intellectual & Developmental Disabilities Psychologist
439
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08149
BCBS #
NE
05
—
100249875-00
—
NE
05
—
100249876-00
—
NE
01
—
680556319
TAX ID # & UBH #
NE
01
—
8529
MIDLANDS CHOICE
NE
01
—
96007
BCBS AUXILIARY #
NE
Enumeration date
09/22/2005
Last updated
01/08/2014
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