| Caitlyn Glissmeyer Llc | |
|
3401 N 191st Ave Elkhorn NE 68022-3350 | |
| (402) 915-8900 | |
| Not Available |
| Full Name | Caitlyn Glissmeyer Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3401 N 191st Ave, Elkhorn, Nebraska |
| Authorized Official Name and Position | Caitlyn Glissmeyer (BUSINESS OWNER) |
| Authorized Official Contact | 4354521583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlyn Glissmeyer Llc 3401 N 191st Ave Elkhorn NE 68022-3350 Ph: () - | Caitlyn Glissmeyer Llc 3401 N 191st Ave Elkhorn NE 68022-3350 Ph: (402) 915-8900 |
| NPI Number | 1073280244 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073280244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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