Doctor Name: | GERIANN T DILLENDER |
NPI Number: | 1487697165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | 706 |
Business Practice Address: | 909 Burlington St Holdrege, NE - 689491764 |
Business Phone Number: | 3089911068 |
Business Fax Number: | 5136367743 |
Mailing Address: | 909 Burlington St, HOLDREGE |
State: | NE |
Postal Code: | 689491764 |
Phone Number: | 3089911068 |
Fax Number: | 5136362511 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |