Provider Demographics
NPI:1992023964
Name:BITZ, ALLISON LEIGH (PHD, LMHP)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LEIGH
Last Name:BITZ
Suffix:
Gender:F
Credentials:PHD, LMHP
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:LEIGH
Other - Last Name:MICHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1919 S 40TH ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5243
Mailing Address - Country:US
Mailing Address - Phone:402-327-1677
Mailing Address - Fax:
Practice Address - Street 1:1919 S 40TH ST
Practice Address - Street 2:SUITE 111
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5243
Practice Address - Country:US
Practice Address - Phone:402-327-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4139101YM0800X
NE845103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE97109OtherBCBS
NE$$$$$$$$$Medicaid