Provider Demographics
NPI:1477620979
Name:CRITEL-RATHJE, DINA (MS)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:
Last Name:CRITEL-RATHJE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 HACKBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BENNET
Mailing Address - State:NE
Mailing Address - Zip Code:68317-2293
Mailing Address - Country:US
Mailing Address - Phone:402-782-2169
Mailing Address - Fax:
Practice Address - Street 1:1325 HACKBERRY ST
Practice Address - Street 2:
Practice Address - City:BENNET
Practice Address - State:NE
Practice Address - Zip Code:68317-2293
Practice Address - Country:US
Practice Address - Phone:402-363-9984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1094101YM0800X
NE28106H00000X
NE81101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist