| NPI | 1063582195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD LEE KIMZEY Owner Clinical Psychologist 308-534-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 208) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 675) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-11-26 |