Individual
DR. JEANNE KATHERINE HENNESSY-KEIMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Mailing address
19804 MARINDA ST, OMAHA, NE 68130-3006
(507) 828-5231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
981
NE
103TC0700X
Clinical Psychologist
981
NE
103TC1900X
Counseling Psychologist
981
NE
103TP2701X
Group Psychotherapy Psychologist
981
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032342
PREFERRED ONE
MN
01
—
172108
UCARE
MN
01
—
20621
SIOUX VALLEY HEALTH
MN
01
—
2503815/2281375
UNITED HEALTH CARE
MN
05
—
355400700
—
MN
01
—
50M13HE
BLUE CROSS BLUE SHIELD
MN
01
—
61-55417
MEDICA
MN
01
—
HP34128
HEALTH PARTNERS
MN
Enumeration date
08/13/2006
Last updated
07/30/2019
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