Healthcare Provider Details
I. General information
NPI: 1033436712
Provider Name (Legal Business Name): ANNE ELIZABETH TAPLEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/21/2010
Last Update Date: 04/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3801 UNION DR SUITE 206
LINCOLN NE
68516-6652
US
IV. Provider business mailing address
3801 UNION DR SUITE 206
LINCOLN NE
68516-6652
US
V. Phone/Fax
- Phone: 402-489-2218
- Fax: 402-489-3666
- Phone: 402-489-2218
- Fax: 402-489-3666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1139 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 850 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: