MEDICARE: MS. BARBARA ANN ECKERT PSY.D.

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
1	103TC0700X	Clinical Psychologist	818	NE
2	101YP2500X	Professional Counselor	1474	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	348157000	OTHER	NE	MIS# FOR MAGELLAN & MEDIC
3	85284	OTHER	NE	BLUE CROSS ID NUMBER
4	47-0772916	OTHER	NE	TAXPAYER ID

General Provider Information

NPI Number	:	1841286275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ANN ECKERT PSY.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 67255
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-0255
Country	:	US
Telephone Number	:	402-499-3685
Fax Number	:	402-484-6024

Provider Business Practice Location Address
First Line	:	2935 PINE LAKE RD
Second Line	:	SUITE F
City	:	LINCOLN
State	:	NE
Zip	:	68516-6009
Country	:	US
Telephone Number	:	402-817-0897
Fax Number	:	402-817-0901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	04/04/2013

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