Healthcare Provider Details

I. General information

NPI: 1841286275
Provider Name (Legal Business Name): BARBARA ANN ECKERT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 PINE LAKE RD SUITE F
LINCOLN NE
68516-6009
US

IV. Provider business mailing address

P.O. BOX 67255
LINCOLN NE
68506-0255
US

V. Phone/Fax

Practice location:
  • Phone: 402-817-0897
  • Fax: 402-817-0901
Mailing address:
  • Phone: 402-499-3685
  • Fax: 402-484-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1474
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number818
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: