Provider Demographics
NPI:1225498207
Name:DAMME, ANA MEDEA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MEDEA
Last Name:DAMME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MEDEA
Other - Last Name:CATHCART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:TALMAGE
Mailing Address - State:NE
Mailing Address - Zip Code:68448-0184
Mailing Address - Country:US
Mailing Address - Phone:402-274-8853
Mailing Address - Fax:
Practice Address - Street 1:2115 14TH ST STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1760
Practice Address - Country:US
Practice Address - Phone:402-274-4993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10243101YM0800X
NE1034103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health