Doctor Name: | MARCELLA R SIKYTA |
NPI Number: | 1659794303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 110 S 26th St Ord, NE - 688621240 |
Business Phone Number: | 3087284340 |
Business Fax Number: | |
Mailing Address: | 2707 L St, ORD |
State: | NE |
Postal Code: | 688621275 |
Phone Number: | 3087284200 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2014 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |