Doctor Name: | MR. DEAN LYNN MESSELHEISER |
NPI Number: | 1811086689 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 00419 |
Business Practice Address: | 901 Sac Blvd Ste 2d7 Offutt Afb, NE - 681135455 |
Business Phone Number: | 4022945860 |
Business Fax Number: | |
Mailing Address: | 3211 Henery Cir, BELLEVUE |
State: | NE |
Postal Code: | 681232344 |
Phone Number: | 4028848761 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |