Detlefsen, Barbara K
Detlefsen, Barbara K is an individual health care provider with primary practice located at 10824 Old Mill Rd Ste 21, Omaha NE 68154-2642. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Detlefsen, Barbara K can be contacted via phone (402) 330-6060.Contact Information
Primary practice address
10824 Old Mill Rd Ste 21
Omaha NE 68154-2642
Phone: (402) 330-6060
Fax: (402) 330-6108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 635 | Nebraska |
Profile Details
| NPI number | 1639149602 |
|---|---|
| LBN Legal business name | Detlefsen, Barbara K |
| Credentials | LMHP LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639149602 | NPPES |
| Nebraska | Other | 82228 | BLUE CROSS BLUE SHIELD |
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