Provider Demographics
NPI:1366644874
Name:SHAMBURG, BARBARA SUE (LMHP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUE
Last Name:SHAMBURG
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 PAWNEE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4642
Mailing Address - Country:US
Mailing Address - Phone:402-438-1552
Mailing Address - Fax:
Practice Address - Street 1:1661 PAWNEE ST
Practice Address - Street 2:APT 1
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-4642
Practice Address - Country:US
Practice Address - Phone:402-438-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELPC1451101YP2500X
NELMHP2739103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
246304OtherMIDLANDS CHOICE