Organization
WILDCAT HILLS BEHAVIORAL HEALTH, LLC
Active
Organization
WILDCAT HILLS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J SMITH PH.D. (LICENSED PSYCHOLOGIST)
(308) 631-9211
Entity
Organization
Contact information
Practice address
2618 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 631-9243
Mailing address
210094 WRIGHTS GAP RD, GERING, NE 69341-6016
(308) 631-9243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
296
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08317
BLUE CROSS BLUE SHIELD
NE
05
—
10025416200
—
NE
Enumeration date
10/18/2012
Last updated
10/18/2012
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