Provider Demographics
NPI:1417033903
Name:PRINTZ, DEANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEANNE
Middle Name:
Last Name:PRINTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7441 O ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2466
Mailing Address - Country:US
Mailing Address - Phone:402-483-4215
Mailing Address - Fax:402-483-5228
Practice Address - Street 1:7441 O ST
Practice Address - Street 2:SUITE 402
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2466
Practice Address - Country:US
Practice Address - Phone:402-483-4215
Practice Address - Fax:402-483-5228
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE268103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4399OtherMIDLANDS CHOICE
NE8127OtherBLUE CROSS & BLUE SHIELD
NE049512OtherVALUE OPTIONS
NE4399OtherMIDLANDS CHOICE