MEDICARE: DR. SUSAN DEANN MEYERLE LIMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11202	OTHER	NE	MIDLANDS CHOICE
2	82202	OTHER	NE	BCBS OF NE

General Provider Information

NPI Number	:	1134243298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN DEANN MEYERLE LIMHP

Provider Business Mailing Address
First Line	:	7501 O ST STE 100
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2485
Country	:	US
Telephone Number	:	402-477-0651
Fax Number	:	402-477-0332

Provider Business Practice Location Address
First Line	:	7501 O ST
Second Line	:	SUITE 100
City	:	LINCOLN
State	:	NE
Zip	:	68510-2485
Country	:	US
Telephone Number	:	402-477-0651
Fax Number	:	402-477-0332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	11/29/2023

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