NPI 1124767413 · live from the CMS NPI Registry
Cheyenne Co Dist 001, Sidney Schools
Psychologist, School in Sidney, NE. National Provider Identifier 1124767413, active.
NPI record
| NPI | 1124767413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 1101 21st Ave, Sidney, NE 69162 |
| Practice phone | 308-254-5855 |
| Enumerated | June 3, 2022 |
| Last updated | June 3, 2022 |
| Authorized official | Deanna Kantor, Business Manager |
| Other names | Sidney Public Schools |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, School | 163WS0200X | — |
| Occupational Therapy Assistant, Environmental Modification | 224ZE0001X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Psychologist, School primary | 103TS0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.