Provider Demographics
NPI:1932372141
Name:ROLLOFF, CHRISTOPHER WAYNE (PLMHP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WAYNE
Last Name:ROLLOFF
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1274
Mailing Address - Country:US
Mailing Address - Phone:402-420-8600
Mailing Address - Fax:402-477-0039
Practice Address - Street 1:5220 S 16TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1274
Practice Address - Country:US
Practice Address - Phone:402-420-8600
Practice Address - Fax:402-477-0039
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health