NPI 1124115043

Jerry Alan van Winkle, PSYD

Practitioner Clinical Psychologist Kearney, NE

Practice location

Address: 2315 W 39th St, Kearney, NE 68845-8327
Phone: (308) 224-4664
Fax: (308) 237-5581

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 577 (NE)

Other Psychologist providers in Nebraska →

Registry record

NPI: 1124115043
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.