Massara, Kimberly A

Massara, Kimberly A is an individual health care provider with primary practice located at 730 Fort Crook Rd N , Bellevue NE 68005-4558. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Massara, Kimberly A can be contacted via phone (402) 292-9105.

Contact Information

Primary practice address
730 Fort Crook Rd N Bellevue NE 68005-4558
Phone: (402) 292-9105
Fax: (402) 292-0342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1838 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 291 Nebraska

Profile Details

NPI number 1104922699
LBN Legal business name Massara, Kimberly A
Credentials LIMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 23rd, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104922699 NPPES
Nebraska MEDICAID 23726797201

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