Provider Demographics
NPI:1306634043
Name:GLASER KASPERBAUER, CEARA MARIE
Entity type:Individual
Prefix:
First Name:CEARA
Middle Name:MARIE
Last Name:GLASER KASPERBAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5007 W METZGER ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68524-1151
Mailing Address - Country:US
Mailing Address - Phone:402-519-0695
Mailing Address - Fax:
Practice Address - Street 1:5007 W METZGER ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68524-1151
Practice Address - Country:US
Practice Address - Phone:402-519-0695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities