Provider Demographics
NPI:1134352081
Name:HORN, REBECCA LYNNE (MS, LIMHP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNNE
Last Name:HORN
Suffix:
Gender:F
Credentials:MS, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-1539
Mailing Address - Country:US
Mailing Address - Phone:402-619-0590
Mailing Address - Fax:
Practice Address - Street 1:1917 AVENUE I
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-1539
Practice Address - Country:US
Practice Address - Phone:402-619-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE640101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health