Organization
STANLEY R CARLOCK ED D LLC
Active
Other names
Liaison Consultation & Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY CARLOCK EDD (PRESIDENT)
(402) 483-0051
Entity
Organization
Contact information
Practice address
1001 S 70TH ST STE 107, LINCOLN, NE 68510-7901
(402) 483-0051
Mailing address
1001 S 70TH ST STE 107, LINCOLN, NE 68510-7901
(402) 483-0051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
602
NE
Other
Enumeration date
08/06/2016
Last updated
09/07/2016
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