Organization Name: | FISHER-EDENS & KLEIN LLC |
NPI Number: | 1114153962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY FISHER-EDENS (PARTNER) |
Mailing Address: | 2027 10th St Gering |
State: | NE US |
Postal Code: | 693412417 |
Phone Number: | 3086324200 |
Fax Number: | 3086324205 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3209 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |