Doctor Name: | SARAH LOUISE DOLEZAL |
NPI Number: | 1184032161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 10264 |
Business Practice Address: | 2313 N Webb Rd Grand Island, NE - 688031743 |
Business Phone Number: | 3083818851 |
Business Fax Number: | 3083818853 |
Mailing Address: | 2313 N Webb Rd, GRAND ISLAND |
State: | NE |
Postal Code: | 688031743 |
Phone Number: | 3083818851 |
Fax Number: | 3083818853 |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 10264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |