Provider Demographics
NPI:1386495463
Name:KLAUMANN, BETHANY D
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:D
Last Name:KLAUMANN
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 1:1409 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-2920
Mailing Address - Country:US
Mailing Address - Phone:402-587-0810
Mailing Address - Fax:
Practice Address - Street 1:1409 3RD ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-2920
Practice Address - Country:US
Practice Address - Phone:402-587-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician