Organization
PEDIATRIC PSYCHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND CARL ZLOMKE PH.D. (CEO)
(402) 806-1700
Entity
Organization
Contact information
Practice address
722 COURT ST STE 103, BEATRICE, NE 68310-3928
(402) 806-1700
(402) 228-2202
Mailing address
1400 OAK STREET, BEATRICE, NE 68310-4402
(402) 806-1700
(402) 228-2202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NE
103T00000X
Psychologist
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257225-00
—
NE
Enumeration date
06/18/2007
Last updated
01/08/2014
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