NPI 1609932649 · live from the CMS NPI Registry
Jerry Norman Bockoven
Psychologist, Clinical in Lincoln, NE. National Provider Identifier 1609932649, active.
NPI record
| NPI | 1609932649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 5350 South St, Lincoln, NE 68506 |
| Practice phone | 402-484-0595 |
| Enumerated | December 27, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 270 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.