Provider First Line Business Practice Location Address:
325 BURNETT HALL
Provider Second Line Business Practice Location Address:
PSYCHOLOGICAL CONSULTATION CENTER
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68588-0311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-472-2351
Provider Business Practice Location Address Fax Number:
402-472-6804
Provider Enumeration Date:
07/10/2007