Individual
JERRY NORMAN BOCKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5350 SOUTH ST, LINCOLN, NE 68506-2131
(402) 484-0595
(402) 484-6306
Mailing address
5350 SOUTH ST, LINCOLN, NE 68506-2131
(402) 484-0595
(402) 484-6306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
270
NE
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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