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NPI Code Detail

MEDICARE: DR. ARIADNE VIGELIUS SCHEMM PHD

MEDICARE: DR. ARIADNE VIGELIUS SCHEMM 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
1103TC2200XClinical Child & Adolescent Psychologist

General Provider Information

NPI Number : 1407916521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARIADNE VIGELIUS SCHEMM PHD
Provider Business Mailing Address
First Line : 2225 S 24TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-4003
Country : US
Telephone Number : 402-438-2118
Fax Number :
Provider Business Practice Location Address
First Line : 8525 EXECUTIVE WOODS DR STE 100
Second Line :
City : LINCOLN
State : NE
Zip : 68512-9647
Country : US
Telephone Number : 402-489-2218
Fax Number : 402-489-3666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 12/28/2023

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