Healthcare Provider Details

I. General information

NPI: 1477416279
Provider Name (Legal Business Name): ALICIA KERSTEN ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 FURNAS ST
ASHLAND NE
68003-1219
US

IV. Provider business mailing address

412 MEADOW CIR
GRETNA NE
68028-7805
US

V. Phone/Fax

Practice location:
  • Phone: 402-944-2128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number20250017500
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: