| Doctor Name: | MS. JUDY L. GONNERMAN |
| NPI Number: | 1003989138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 1353 |
| Business Practice Address: | 1919 S 40th St Ste 212 Lincoln, NE - 685065248 |
| Business Phone Number: | 4024419280 |
| Business Fax Number: | |
| Mailing Address: | 1919 S 40th St Ste 212, LINCOLN |
| State: | NE |
| Postal Code: | 685065248 |
| Phone Number: | 4024419280 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 01/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1353 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |