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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