Provider Demographics
NPI:1396215125
Name:CAMIE L NITZEL, PHD LP, LLC
Entity Type:Organization
Organization Name:CAMIE L NITZEL, PHD LP, LLC
Other - Org Name:KINDRED PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LP
Authorized Official - Phone:402-483-7900
Mailing Address - Street 1:8001 S 15TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9617
Mailing Address - Country:US
Mailing Address - Phone:402-483-7900
Mailing Address - Fax:
Practice Address - Street 1:8001 S 15TH ST STE C
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-9617
Practice Address - Country:US
Practice Address - Phone:402-483-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMIE L NITZEL, PHD LP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-05
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty