Provider Demographics
NPI:1851348007
Name:NAEGELE, KAREN DIANE SIGLER (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DIANE SIGLER
Last Name:NAEGELE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 FORTUNE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3428
Mailing Address - Country:US
Mailing Address - Phone:402-650-0584
Mailing Address - Fax:
Practice Address - Street 1:535 FORTUNE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3428
Practice Address - Country:US
Practice Address - Phone:402-650-0584
Practice Address - Fax:402-502-3606
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE500103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100253380-00Medicaid
NE100253380-00Medicaid