Provider Demographics
NPI:1275813198
Name:DENMAN, PAIGE M (MSCC)
Entity Type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:M
Last Name:DENMAN
Suffix:
Gender:F
Credentials:MSCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 W 2ND ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5413
Mailing Address - Country:US
Mailing Address - Phone:308-384-0381
Mailing Address - Fax:308-339-0962
Practice Address - Street 1:1811 W 2ND ST
Practice Address - Street 2:SUITE 375
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-5413
Practice Address - Country:US
Practice Address - Phone:308-384-0381
Practice Address - Fax:308-339-0962
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2124101YP2500X
NE4370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional