Individual
KATHRYN LYNN ZEANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10769
NE
103T00000X
Psychologist
Primary
P.07710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026139700
—
NE
05
—
47037660624
—
NE
05
—
47037660631
—
NE
Enumeration date
07/08/2015
Last updated
02/18/2019
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