Provider Demographics
NPI:1982802856
Name:KREBS, KRISTA KAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:KAY
Last Name:KREBS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W H ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7016
Mailing Address - Country:US
Mailing Address - Phone:402-984-3469
Mailing Address - Fax:
Practice Address - Street 1:210 W H ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-7016
Practice Address - Country:US
Practice Address - Phone:402-984-3469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE569103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist