| Doctor Name: | STEPHANIE ALBERTSON PERSHING |
| NPI Number: | 1013216449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., PLMHP |
| License Number: | 9353 |
| Business Practice Address: | 223 E 14th St Suite 3 Hastings, NE - 689013200 |
| Business Phone Number: | 4024633640 |
| Business Fax Number: | 4024633677 |
| Mailing Address: | 223 E. 14th St, Suite 3 HASTINGS |
| State: | NE |
| Postal Code: | 68901 |
| Phone Number: | 4024633640 |
| Fax Number: | 4024633677 |
| NPI Enumeration Date: | 03/24/2011 |
| NPI Last Update Date: | 03/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |