Provider Demographics
NPI:1124897335
Name:COLLINGHAM, ANN MARIE (MSED)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:COLLINGHAM
Suffix:
Gender:
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 A STREET RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER CROSSING
Mailing Address - State:NE
Mailing Address - Zip Code:68313-9444
Mailing Address - Country:US
Mailing Address - Phone:402-306-8764
Mailing Address - Fax:
Practice Address - Street 1:1100 N LINCOLN AVE STE 2D
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1743
Practice Address - Country:US
Practice Address - Phone:402-292-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4118101YM0800X
NE3071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health