Doctor Name: | PATRICIA E DURNER |
NPI Number: | 1578831285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIMHP |
License Number: | 950 |
Business Practice Address: | 975 Crescent Dr Gering, NE - 693411712 |
Business Phone Number: | 3086333345 |
Business Fax Number: | 3086332650 |
Mailing Address: | 3350 10th St, GERING |
State: | NE |
Postal Code: | 693411724 |
Phone Number: | 3086333345 |
Fax Number: | 3086332650 |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |