Provider Demographics
NPI:1730064965
Name:STARKUS, JACQUELINE LEE (MS, EDS)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:LEE
Last Name:STARKUS
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 REED ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4431
Mailing Address - Country:US
Mailing Address - Phone:402-898-0408
Mailing Address - Fax:
Practice Address - Street 1:7909 REED ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4431
Practice Address - Country:US
Practice Address - Phone:402-898-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist