Provider Demographics
NPI:1134243298
Name:MEYERLE, SUSAN DEANN (LIMHP)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:DEANN
Last Name:MEYERLE
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 O ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2485
Mailing Address - Country:US
Mailing Address - Phone:402-477-0651
Mailing Address - Fax:402-477-0332
Practice Address - Street 1:7501 O ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2485
Practice Address - Country:US
Practice Address - Phone:402-477-0651
Practice Address - Fax:402-477-0332
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE11202OtherMIDLANDS CHOICE
NE82202OtherBCBS OF NE