Provider Demographics
NPI:1225535990
Name:ECKERT PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:ECKERT PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ECKERT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:402-499-3685
Mailing Address - Street 1:PO BOX 67255
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7255
Mailing Address - Country:US
Mailing Address - Phone:402-499-3685
Mailing Address - Fax:402-261-3344
Practice Address - Street 1:8925 FOXTAIL DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9518
Practice Address - Country:US
Practice Address - Phone:402-499-3685
Practice Address - Fax:402-261-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE818103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty