Provider Demographics
NPI:1558447128
Name:STURGIS, BARBARA J (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:STURGIS
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:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-0053
Mailing Address - Country:US
Mailing Address - Phone:402-371-8218
Mailing Address - Fax:402-371-8259
Practice Address - Street 1:1306 N 13TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2591
Practice Address - Country:US
Practice Address - Phone:402-371-8218
Practice Address - Fax:402-371-8259
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE134103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47080527026Medicaid
NE7703OtherMIDLANDS CHOICE
NE08482OtherBC/BS
NE47080527026Medicaid