Nebergall, Mary

Nebergall, Mary is an individual health care provider with primary practice located at 513 Madison Ave , Covington KY 41011-1505. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nebergall, Mary can be contacted via phone (859) 578-3200.

Contact Information

Primary practice address
513 Madison Ave Covington KY 41011-1505
Phone: (859) 578-3200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 248448 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 260363 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 248448 Kentucky

Profile Details

NPI number 1174065627
LBN Legal business name Nebergall, Mary
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2016
Last updated Jan 26th, 2024 - about last year

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 1174065627 NPPES
Kentucky Other 610661458 TAX ID

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