Male or Other

Mr. Rodney M. Bass L.M.H.P.

Full Name

Mr. Rodney M Bass L.M.H.P.

NPI Number

1093869687

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/22/2007

Specialties

(Taxonomies)

Code

101YM0800X
101YP2500X

Primary Taxonomy

No
No

Licenses

State

Nebraska
Nebraska

License Number

2483
1348

Contact
Information

Purpose

Mailing
Location

Address

8101 HICKORY LN
210 GATEWAY MALL STE 342

City

Lincoln
Lincoln

State

NE
NE

Postal Code

68510-4461
68505-2449

Country

US
US

Telephone Number

(308) 379-8602
(402) 434-2730

Identifiers

Identifier

470756369-26
85761
34568000
470756369-30
252409
470774254-26

Identifier State

NE
NE
NE
NE
NE
NE

Identifier Issuer

Unknown
BCBS
MAGELLAN FSI
Unknown
MIDLANDS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address