Provider Demographics
NPI:1851487227
Name:BIXLER, LINDY LUE (MS)
Entity Type:Individual
Prefix:MS
First Name:LINDY
Middle Name:LUE
Last Name:BIXLER
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 1:5601 THISTLE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2076
Mailing Address - Country:US
Mailing Address - Phone:402-429-8828
Mailing Address - Fax:402-423-8828
Practice Address - Street 1:1101 ARAPAHOE
Practice Address - Street 2:SUITE 4
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-4400
Practice Address - Country:US
Practice Address - Phone:402-429-8828
Practice Address - Fax:402-423-8828
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE838106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024977000Medicaid