Provider Demographics
NPI:1912127440
Name:DOMBROWSKI, KATHLEEN ANN (CMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANN
Last Name:DOMBROWSKI
Suffix:
Gender:F
Credentials:CMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5231 BISON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2415
Mailing Address - Country:US
Mailing Address - Phone:402-420-5700
Mailing Address - Fax:402-423-7401
Practice Address - Street 1:5231 BISON DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2415
Practice Address - Country:US
Practice Address - Phone:402-420-5700
Practice Address - Fax:402-423-7401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE442101YM0800X
NE73106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist