MRS. WANDA L ENNS


Address: 207 East 6th Street, Suite 4, Lexington, NE 68850
Phone: 3083245623

MRS. WANDA L ENNS (NPI# 1730206384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730206384
Entity Type Individual
Full Name MRS. WANDA L ENNS
Credential PHD
Practice Address 207 East 6th Street
Suite 4
Lexington
NE 68850
Mailing Address 3614 13th Ave
Kearney
NE 68847
Practice Telephone 3083245623
Practice Fax Number 3083245624
Mailing Telephone 3082365006
Mailing Fax Number 3083245624
Enumeration Date 2007-03-26
Last Update Date 2007-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1071 NE Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 72 NE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 47072798400 05

Office Location

Street Address 207 EAST 6TH STREET
SUITE 4
City LEXINGTON
State NE
Zip Code 68850

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1013409705 Marianne Daisy Farkas Psychologist 18 Kendall Rd, Lexington, MA 02421-7143 2018-05-30
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1780184283 Christina Marie Boelter Jordan Psychologist University of Kentucky Counseling Center Frazee Hall, Lexington, KY 40506-0001 2018-02-20
1245765254 David Hague Psychologist 334 Glendover Rd, Lexington, KY 40503-2011 2017-04-27
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1144636150 Judith Campbell Psychologist 625 Sayre Ave, Lexington, KY 40508-2317 2014-07-10
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City LEXINGTON
Zip Code 68850

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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