Provider Demographics
NPI:1245438340
Name:PSYCHOLOGICAL CONSULTATION CENTER
Entity type:Organization
Organization Name:PSYCHOLOGICAL CONSULTATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-472-3195
Mailing Address - Street 1:325 BURNETT HALL
Mailing Address - Street 2:UNIVERSITY OF NEBRASKA LINCOLN
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588-0311
Mailing Address - Country:US
Mailing Address - Phone:402-472-2351
Mailing Address - Fax:402-472-6804
Practice Address - Street 1:325 BURNETT HALL
Practice Address - Street 2:UNIVERSITY OF NEBRASKA LINCOLN
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0311
Practice Address - Country:US
Practice Address - Phone:402-472-2351
Practice Address - Fax:402-472-6804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty