MISS Mckayla Bacon
NPI #1265111868 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1265111868
- Entity Type
- Individual
- Name
- MISS Mckayla Bacon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 1135 N H ST
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822-1262
- Phone
- (308) 872-2982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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