Doctor Name: | BRIDGET DANIELLE MOSTEK |
NPI Number: | 1013326685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIMHP |
License Number: | 4226 |
Business Practice Address: | 1755 Prairie View Pl Kearney, NE - 688458300 |
Business Phone Number: | 3088652249 |
Business Fax Number: | 3088652931 |
Mailing Address: | 1755 Prairie View Pl, KEARNEY |
State: | NE |
Postal Code: | 688458300 |
Phone Number: | 3088652249 |
Fax Number: | 3088652931 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 09/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4226 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |