Organization
JOHN W. HERDMAN, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W HEDMAN PH.D. (CLINICAL DIRECTOR)
(402) 489-9792
Entity
Organization
Contact information
Practice address
1640 L ST STE C, LINCOLN, NE 68508-2581
(402) 489-9792
(402) 489-9793
Mailing address
4706 S 48TH ST, LINCOLN, NE 68516-1276
(402) 489-9792
(402) 489-9793
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002675200
—
NE
Enumeration date
10/16/2007
Last updated
10/28/2019
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