Doctor Name: | MARY ANGELA APTHORPE |
NPI Number: | 1124270459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLADC |
License Number: | P-641 |
Business Practice Address: | 9300 Wagon Train Rd Hickman, NE - 683729877 |
Business Phone Number: | 4027920097 |
Business Fax Number: | 4027920098 |
Mailing Address: | 9300 Wagon Train Rd, HICKMAN |
State: | NE |
Postal Code: | 683729877 |
Phone Number: | 4027920097 |
Fax Number: | 4027920098 |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | P-641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |