Individual
PAUL C BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
PO BOX 1167, NORTH PLATTE, NE 69103-1167
(308) 696-8000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
472
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47066229013
—
NE
Enumeration date
08/09/2006
Last updated
07/08/2007
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