Organization
JERRY VAN WINKLE, PSYD, LLC
Active
Organization
JERRY VAN WINKLE, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN VAN WINKLE PSYD (PSYCHOLOGIST)
(308) 224-4664
Entity
Organization
Contact information
Practice address
2315 W 39TH ST, KEARNEY, NE 68845-8327
(308) 224-4664
(308) 237-5581
Mailing address
2315 W 39TH ST, KEARNEY, NE 68845-8327
(308) 224-4664
(308) 237-5581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
577
NE
251S00000X
Community/Behavioral Health Agency
577
NE
Other
Enumeration date
03/05/2009
Last updated
04/24/2014
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