=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568343770
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOLYNN KAHLANDT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2025
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2657 44TH AVE
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68601-8537
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-564-5753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2620 MULLIGAN ST
-----------------------------------------------------
City | ALBION
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68620-5210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 400-274-1100
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number | 20230010868
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------