Provider Demographics
NPI:1932817251
Name:KREUTZER, TRICIA
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:KREUTZER
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 1:4111 E AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2630
Mailing Address - Country:US
Mailing Address - Phone:402-752-0709
Mailing Address - Fax:
Practice Address - Street 1:2222 2ND AVE STE 803
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5373
Practice Address - Country:US
Practice Address - Phone:402-752-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health