Doctor Name: | PROF. DAVID PAUL MELLINGER |
NPI Number: | 1073604856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHP |
License Number: | 135 |
Business Practice Address: | 2315 W 39th St Unit 6 Kearney, NE - 688458327 |
Business Phone Number: | 3082375021 |
Business Fax Number: | 3082375021 |
Mailing Address: | 2315 W 39th St Unit 6, KEARNEY |
State: | NE |
Postal Code: | 688458327 |
Phone Number: | 3082375021 |
Fax Number: | 3082375021 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |