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Contact Information

WESTERN PLAINS PSYCHOLOGY P.C.
3911 AVE B, SUITE 3400
SOUTH PLAZA
SCOTTSBLUFF, NE69361
 Phone: 308-630-7966
 Fax: 308-630-1028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WESTERN PLAINS PSYCHOLOGY P.C.

NPI # 1548560584
LBN Legal business name WESTERN PLAINS PSYCHOLOGY P.C.
Authorized official NICOLE WHITE-VIDLAK - (OWER/PRES.)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2010
Last updated 10/25/2010 - About 16 years ago
Identifiers
NE License # 605
NE Medicaid 10025891800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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