Basic Information
Provider Information
NPI: 1780771568
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUEBNER
FirstName: ROBIN
MiddleName: RITCHEY
NamePrefix: DR.
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 W NORFOK AVE
Address2: BEHAVIORAL HEALTH SPECIALISTS INC
City: NORFOLK
State: NE
PostalCode: 68701
CountryCode: US
TelephoneNumber: 4023703140
FaxNumber: 4023703373
Practice Location
Address1: 900 W NORFOLK AVE
Address2: BEHAVIORAL HEALTH SPECIALISTS INC
City: NORFOLK
State: NE
PostalCode: 687015006
CountryCode: US
TelephoneNumber: 4023703140
FaxNumber: 4023703373
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 02/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X225NEY Behavioral Health & Social Service ProvidersPsychologistClinical

ID Information
IDTypeStateIssuerDescription
9603101 BCBS ANXOTHER
834901 BCBSOTHER
1503301 UNITED BEHAVIOR HEALTHOTHER


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