Petersen, Connie Lynn

Petersen, Connie Lynn is an individual health care provider with primary practice located at 1900 Vicki Ln , Norfolk NE 68701-4558. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petersen, Connie Lynn can be contacted via phone (402) 370-3140.

Contact Information

Primary practice address
1900 Vicki Ln Norfolk NE 68701-4558
Fax: (402) 370-3373
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 310 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 724 Nebraska

Profile Details

NPI number 1598958811
LBN Legal business name Petersen, Connie Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Apr 11th, 2022 - about 4 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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