Provider Demographics
NPI:1124120621
Name:NITZEL, CAMIE LYNN (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:CAMIE
Middle Name:LYNN
Last Name:NITZEL
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 S 15TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9617
Mailing Address - Country:US
Mailing Address - Phone:402-483-7900
Mailing Address - Fax:402-483-7971
Practice Address - Street 1:8001 S 15TH ST STE C
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-9617
Practice Address - Country:US
Practice Address - Phone:402-483-7900
Practice Address - Fax:402-483-7971
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE956103T00000X
NE1626101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health