Provider Demographics
NPI:1427196633
Name:RIVERS, LINDA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:RIVERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:#212
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-488-6831
Mailing Address - Fax:402-434-9299
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:#212
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-488-6831
Practice Address - Fax:402-434-9299
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE356103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
80705OtherMIDLANDS CHOICE
NE8417OtherBLUE CROSS BLUE SHIELD NE
67902OtherUNITED HLTHCARE