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NPI Code Detail

MEDICARE: JUDY E BYRNS PH.D., L.P.

MEDICARE:   JUDY E BYRNS  PH.D., L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist289NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
198158OTHERNEBLUE CROSS BLUE SHIELD AU
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
408168OTHERNEBLUE CROSS BLUE SHIELD
55162OTHERNEMIDLANDS CHOICE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770503047
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY E BYRNS PH.D., L.P.
Provider Business Mailing Address
First Line : 3201 PIONEERS BLVD
Second Line : SUITE 202
City : LINCOLN
State : NE
Zip : 68502-5963
Country : US
Telephone Number : 402-489-9959
Fax Number : 402-489-2219
Provider Business Practice Location Address
First Line : 3201 PIONEERS BLVD
Second Line : SUITE 202
City : LINCOLN
State : NE
Zip : 68502-5963
Country : US
Telephone Number : 402-489-9959
Fax Number : 402-489-2219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ JUDY E BYRNS PH.D., L.P.” Practice Location

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