Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 517 | NE |
Y | 103TC0700X | Clinical Psychologist | 517 | NE |
NPI | 1003908211 |
---|---|
Provider Name | Dr. Gail Maureen Ihle |
First Address | Lincoln, NE 68508-2900 |
Second Address | Lincoln, NE 68508-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 20/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08401 | BLUE CROSS BLUE SHIELD (01) | NE |
NA2437 | (02) | NE |