Basic Information
| Provider Information | |||||||||
| NPI: | 1457948291 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMBURGER | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | PLMHP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 309 W 3RD ST | ||||||||
| Address2: | |||||||||
| City: | RUSHVILLE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 693604581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3083272026 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 309 W 3RD ST | ||||||||
| Address2: | |||||||||
| City: | RUSHVILLE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 693604581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3083272026 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2020 | ||||||||
| LastUpdateDate: | 12/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 12435 | NE | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.