Provider Demographics
NPI:1609947811
Name:FEHRINGER, DIANE KAY (LMHP)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:KAY
Last Name:FEHRINGER
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 1:5350 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2131
Mailing Address - Country:US
Mailing Address - Phone:402-484-0595
Mailing Address - Fax:402-484-6306
Practice Address - Street 1:5350 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2131
Practice Address - Country:US
Practice Address - Phone:402-484-0595
Practice Address - Fax:402-484-6306
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2956101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85483OtherBCBS
MT249526OtherMIDLANDS CHOICE
NE47084125026Medicaid