Healthcare Provider Details

I. General information

NPI: 1144556531
Provider Name (Legal Business Name): KATHRYN LADEAN MCDONALD MS, PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 E COURT ST
BEATRICE NE
68310-3928
US

IV. Provider business mailing address

405 NANCE ST # 636
AVOCA NE
68307-4011
US

V. Phone/Fax

Practice location:
  • Phone: 402-223-3843
  • Fax: 402-223-4200
Mailing address:
  • Phone: 402-306-4687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8832
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: