Doctor Name: | MRS. PAMELA JEAN ZITTERKOPF |
NPI Number: | 1770614133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. P.L.M.H.P. |
License Number: | 8118 |
Business Practice Address: | 1720 10th St Gering, NE - 693412412 |
Business Phone Number: | 3084363817 |
Business Fax Number: | 3044364716 |
Mailing Address: | 1720 10th St, GERING |
State: | NE |
Postal Code: | 693412412 |
Phone Number: | 3084363817 |
Fax Number: | 3044364716 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |