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NPI Code Detail

MEDICARE: DR. JACQUELINE KAY RHODES PHD

MEDICARE:  DR. JACQUELINE KAY RHODES  PHD
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
1103T00000XPsychologist436NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2620005771OTHERNERAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15906OTHERNEMIDLANDS CHOICE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
408002OTHERNEBCBS

General Provider Information

NPI Number : 1215911656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE KAY RHODES PHD
Provider Business Mailing Address
First Line : 3923 N 269TH CIR
Second Line :
City : VALLEY
State : NE
Zip : 68064-4435
Country : US
Telephone Number : 402-504-4101
Fax Number :
Provider Business Practice Location Address
First Line : 7441 O ST
Second Line : STE 402
City : LINCOLN
State : NE
Zip : 68510-2466
Country : US
Telephone Number : 402-483-4215
Fax Number : 402-483-5228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 02/22/2013

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Directions to “ DR. JACQUELINE KAY RHODES PHD” Practice Location

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